Active NPI
Irena Sarovic, LPC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1467731133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002982
- Practice address
- 12721 Darby Brook CT
Woodbridge, VA 22192-2408 - Phone
- (703) 497-1771
- NPI assigned
- Aug 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PRC157 | DC | |
| Professional Counselor | 101YP2500X | 0701002982 | VA | Primary |
Addresses
Primary practice location
12721 Darby Brook CT
Woodbridge, VA 22192-2408
Mailing address
12721 Darby Brook CT
Woodbridge, VA 22192-2408
Phone (703) 497-1771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 478281 | Other | MHN | |
| 12179547 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 30, 2024 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC157 | DC | MD | Professional Counselor |
| 0701002982 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348272000000",
"number": "1467731133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12721 DARBY BROOK CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922408",
"telephone_number": "703-497-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12721 DARBY BROOK CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922408",
"telephone_number": "703-497-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAROVIC",
"first_name": "IRENA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-11",
"last_updated": "2012-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC157",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "478281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12179547",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.