Individual provider Active NPI

Christine Krohl Heaton, LPC, LMFT

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1467472340
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003784 Issued in VA
Practice address
14150 Parkeast Cir Ste 200
Fairfax, VA 20151-4212
Phone
(703) 968-4000
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003784 VA
Marriage & Family Therapist 106H00000X 0717001095 VA
Professional Counselor 101YP2500X 0701003784 VA Primary

Addresses

Primary practice location

14150 Parkeast Cir Ste 200
Fairfax, VA 20151-4212

Mailing address

14150 Parkeast Cir Ste 200
Chantilly, VA 20151-4212
Phone (703) 968-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125003164 DC Practitioner - Mental Health Counselor 0648623637 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717001095VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Jan 1, 2024 Accepting new patients
Comfort Thru Counseling PLLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

44081 Pipeline Plz
Ste 305
Ashburn, VA 20147
Phone (703) 858-9282

14150 Parkeast Cir
Ste 200
Fairfax, VA 20151
Phone (703) 449-6114

5120 1st Rd
Fairfax, VA 22030
Phone (703) 691-1685

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (703) 289-7599

Organizations & group practices 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1467472340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 PARKEAST CIR STE 200",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201514212",
            "telephone_number": "703-968-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 PARKEAST CIR STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "201514212",
            "telephone_number": "703-968-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "CHRISTINE",
        "middle_name": "KROHL",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003784",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.