Corey Martin Neyer, L-RIC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704016412 Issued in VA

Practice address

906 Trailview Blvd SE
Leesburg, VA 20175-4415

Phone

(703) 777-0377

NPI assigned

Jan 15, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Corey Martin Memmott Former name

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": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1508677915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44131 TIPPECANOE TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201474821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 TRAILVIEW BLVD SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754415",
            "telephone_number": "703-777-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYER",
        "first_name": "COREY",
        "middle_name": "MARTIN",
        "credential": "L-RIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "MEMMOTT",
            "middle_name": "MARTIN",
            "credential": "L-RIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Elizabeth Neverson, LPC
• New Energy Chiropractic LLC
• New Vision Family Eye Clinic LLC
• Elizabeth Flow Newberry, RN
• Newbridge Spine and Pain Center of Virginia LLC
• Anthony T Nguyen, RPH
• Audrey P Nguyen, PHARM.D
• Jenny Thi Nguyen
• Thucdan Thuy Nguyen, L.AC.
• Tony Chieuvan Nguyen, M.D.

• Mental Health Counselor in Leesburg, VA
• Providers in Leesburg, 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 Jan 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.