Individual provider Active NPI

Carolyn Stephanie Alvarado, MA

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1497331367
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704011764 Issued in VA
Practice address
4528 Plank Rd Ste A1
Fredericksburg, VA 22407-0141
Phone
(540) 282-8853
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 0704011764 VA Primary

Addresses

Primary practice location

4528 Plank Rd Ste A1
Fredericksburg, VA 22407-0141

Mailing address

4528 Plank Rd Ste A1
Fredericksburg, VA 22407-0141
Phone (540) 282-8853

Other practice location 1

950 N Washington St Ste 322
Alexandria, VA 22314-1534
Phone (540) 282-8853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328000052 VA Practitioner - Mental Health Counselor 6002339280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Minds Therapy PLLCGroup PAC ID 0941720577, 15 clinicians

Practice addresses (Care Compare)

2121 Eisenhower Ave
Suite 501
Alexandria, VA 22314-4688
Phone (540) 845-6940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0704011764VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Therapy PLLC Multi-Specialty CurrentSince Jan 18, 2025 Accepting new patients

Locations

2121 Eisenhower Ave
Ste 501
Alexandria, VA 22314
Phone (540) 845-6950

3975 University Dr
Ste 110
Fairfax, VA 22030

2201 Charles St
Ste 105
Fredericksburg, VA 22401
Phone (540) 854-6940

4528 Plank Rd
Ste A1
Fredericksburg, VA 22407
Phone (540) 282-8853

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1497331367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD STE A1",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "540-282-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 PLANK RD STE A1",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070141",
            "telephone_number": "540-282-8853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 N Washington St Ste 322",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223141534",
            "country_code": "US",
            "telephone_number": "540-282-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "CAROLYN",
        "middle_name": "STEPHANIE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704011764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.