Brian Yeagley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704016411 Issued in VA

Practice address

4155 Chain Bridge Rd
Fairfax, VA 22030-4102

Phone

(703) 258-9331

NPI assigned

Jul 15, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1497647424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 HEATHERFIELD LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304102",
            "telephone_number": "703-258-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGLEY",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Yates, BCBA
• Roxana Yavari
• Seth Yavit, LPC
• Ata Yazdani, MD
• Sasha R Yazdgerdi, M.ED., BCBA, LBA
• Caleb Yeaton, PA
• Rachel Denny Yeaw
• Krystal Yeboah
• Elizabeth Yeonas
• Amanda Yeun-Hee Yi, DMD

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.