Individual provider Active NPI

Anita Herrera, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1467150326
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024186412 Issued in VA
Practice address
14108 Bay Vista Dr Apt 303
Woodbridge, VA 22191-4813
Phone
(571) 839-4952
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024186412 VA Primary

Addresses

Primary practice location

14108 Bay Vista Dr Apt 303
Woodbridge, VA 22191-4813

Mailing address

14108 Bay Vista Dr Apt 303
Woodbridge, VA 22191-4813
Phone (571) 839-4952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230426000348 DC Practitioner - Nurse Practitioner 1254796212 Reassigns benefits to 1 organization
I20230428001582 VA Practitioner - Nurse Practitioner 1254796212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Practice addresses (Care Compare)

199 Liberty St SW
Leesburg, VA 20175-2715
Phone (804) 207-6737

8575 Rixlew LN
Manassas, VA 20109-3701
Phone (301) 593-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024186412VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC CurrentSince Mar 23, 2023 Accepting new patients
Supportive Care of Virginia LLC CurrentSince Aug 1, 2023 Accepting new patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Oct 25, 2023 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

199 Liberty St SW
Leesburg, VA 20175
Phone (703) 621-7121

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.anitaherrera@144557.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1467150326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14108 BAY VISTA DR APT 303",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914813",
            "telephone_number": "571-839-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14108 BAY VISTA DR APT 303",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914813",
            "telephone_number": "571-839-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ANITA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024186412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.