Active NPI
Jessica Nolan, LPC
- Professional Counselor
- Manassas, VA
National Provider Identifier
1497477012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701011791
- Practice address
- 9255 Center St Ste 210
Manassas, VA 20110-5079 - Phone
- (703) 675-5361
- Fax
- (703) 361-1540
- NPI assigned
- Sep 12, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701011791 | VA | Primary |
Addresses
Primary practice location
9255 Center St Ste 210
Manassas, VA 20110-5079
Mailing address
13835 Braddock Springs Rd Apt G
Centreville, VA 20121-4229
Phone (215) 715-7490
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011791 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1497477012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13835 BRADDOCK SPRINGS RD APT G",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201214229",
"telephone_number": "215-715-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9255 CENTER ST STE 210",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201105079",
"telephone_number": "703-675-5361",
"fax_number": "703-361-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "JESSICA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701011791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.