Active NPI
Julieta Paulina Graves, LPC
- Professional Counselor
- Broadlands, VA
National Provider Identifier
1457906125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007943
- Practice address
- 42881 Sandhurst CT
Broadlands, VA 20148-4537 - Phone
- (703) 939-4732
- NPI assigned
- Aug 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007943 | VA | Primary |
| Professional Counselor | 101YP2500X | PRC14844 | DC |
Addresses
Primary practice location
42881 Sandhurst CT
Broadlands, VA 20148-4537
Mailing address
42881 Sandhurst CT
Broadlands, VA 20148-4537
Phone (703) 939-4732
Other names 1
- Julieta Paulina Flores Hernandez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14844 | DC | MD | Professional Counselor |
| 0701007943 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Harmony Therapy LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Broadlands, VA
- NPI 1235895202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636848000000",
"number": "1457906125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42881 SANDHURST CT",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201484537",
"telephone_number": "703-939-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42881 SANDHURST CT",
"city": "BROADLANDS",
"state": "VA",
"postal_code": "201484537",
"telephone_number": "703-939-4732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "JULIETA",
"middle_name": "PAULINA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-08",
"last_updated": "2021-11-14",
"certification_date": "2021-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007943",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14844",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIETA",
"last_name": "FLORES HERNANDEZ",
"middle_name": "PAULINA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Broadlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.