Individual provider Active NPI

Arlyn Elizabeth Marshall, CAC, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Annandale, VA
National Provider Identifier
1467705228
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710000196 Issued in VA
Practice address
3289 Woodburn Rd Ste 300
Annandale, VA 22003-7355
Phone
(703) 207-7554
Fax
(703) 208-6025
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710000196 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 081177 VA

Addresses

Primary practice location

3289 Woodburn Rd Ste 300
Annandale, VA 22003-7355

Mailing address

13127 Lazy Glen CT
Herndon, VA 20171-2327
Phone (703) 435-7254

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

LicenseStateTypeSpecialty
0710000196VAMDAddiction (Substance Use Disorder) Counselor
081177VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1467705228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 LAZY GLEN CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712327",
            "telephone_number": "703-435-7254",
            "fax_number": "703-208-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3289 WOODBURN RD STE 300",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037355",
            "telephone_number": "703-207-7554",
            "fax_number": "703-208-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "ARLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CAC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000196",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "081177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.