Individual provider Active NPI

Masumeh Auguste Farchtchi, LMFT, MS

  • Mental Health Counselor
  • McLean, VA
National Provider Identifier
1487237996
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0717002001 Issued in VA
Practice address
1364 Beverly Rd Ste 303
MC Lean, VA 22101-3644
Phone
(703) 679-7286
NPI assigned
May 3, 2021
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0717002001 VA Primary
Mental Health Counselor 101YM0800X 0730000575 VA

Addresses

Primary practice location

1364 Beverly Rd Ste 303
MC Lean, VA 22101-3644

Mailing address

1364 Beverly Rd Ste 303
MC Lean, VA 22101-3644
Phone (703) 679-7286

Other practice location 1

3611 Chain Bridge Rd Ste C
Fairfax, VA 22030-3246
Phone (702) 679-7286

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0717002001VAMDMental Health Counselor
0730000575VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1487237996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 BEVERLY RD STE 303",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013644",
            "telephone_number": "703-679-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 BEVERLY RD STE 303",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013644",
            "telephone_number": "703-679-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 Chain Bridge Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220303246",
            "country_code": "US",
            "telephone_number": "702-679-7286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARCHTCHI",
        "first_name": "MASUMEH",
        "middle_name": "AUGUSTE",
        "credential": "LMFT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0717002001",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0730000575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.