Individual provider Active NPI

Selah Squalls

  • Mental Health Counselor
  • Ashburn, VA
National Provider Identifier
1477466027
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
21834 Granite Mountain Ter Unit 302
Ashburn, VA 20147-4971
Phone
(240) 380-9574
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

21834 Granite Mountain Ter Unit 302
Ashburn, VA 20147-4971

Mailing address

21834 Granite Mountain Ter Unit 302
Ashburn, VA 20147-4971
Phone (240) 380-9574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1477466027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21834 GRANITE MOUNTAIN TER UNIT 302",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474971",
            "telephone_number": "240-380-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21834 GRANITE MOUNTAIN TER UNIT 302",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474971",
            "telephone_number": "240-380-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUALLS",
        "first_name": "SELAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.