J L Fristad PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

J L FRISTAD PLLC

Practice address

2 Cardinal Park Dr SE Ste 104a
Leesburg, VA 20175-4448

Phone

(703) 980-9715

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Janice L Fristad, LCSWNPI 1679817548

Title

Executive Officer

Phone

(703) 474-6202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Louise Fristad, LCSW, LGSW, CAE

  • Clinical Social Worker
  • Leesburg, VA
  • NPI 1679817548
  Medicare reassignment Authorized official
• Cynthia Antoinette Jones, PH D

  • Clinical Psychologist
  • Leesburg, VA
  • NPI 1457422958
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1487148490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MUSKET CT NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764805",
            "telephone_number": "703-474-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE STE 104A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "703-980-9715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Musket Ct NE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201764805",
            "country_code": "US",
            "telephone_number": "703-474-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J L FRISTAD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "FRISTAD",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "703-474-6202",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed N Ishaq, MD
• Dinara F Iskhakova
• Laura Ispas, MD
• Caralyn Wilkerson Ivey, FNP
• Loren Ivey, NP, CNM
• Michelle H.S. Jabbour
• Jerrontay Jackson, LMSW
• Melanie Jackson, FNP-C
• Melissa Elizabeth Jackson, MSW
• Gillian Althea Jacob, M.D.

• Clinical Social Worker in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.