Individual provider Active NPI

Abigail F Vandivier, LPC

  • Mental Health Counselor
  • Reston, VA
National Provider Identifier
1538935689
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701014251 Issued in VA
Practice address
12007 Sunrise Valley Dr Ste 120
Reston, VA 20191-3460
Phone
(703) 522-2089
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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 0701014251 VA Primary

Addresses

Primary practice location

12007 Sunrise Valley Dr Ste 120
Reston, VA 20191-3460

Mailing address

12007 Sunrise Valley Dr Ste 120
Reston, VA 20191-3460
Phone (703) 434-9858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250107000731 DC Practitioner - Mental Health Counselor 1658809512 Reassigns benefits to 2 organizations
I20250112000019 VA Practitioner - Mental Health Counselor 1658809512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goyal Medpsych IncGroup PAC ID 3375978984, 25 clinicians

Practice addresses (Care Compare)

2110 Gallows Rd
Suite D
Vienna, VA 22182-3962
Phone (703) 592-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014251VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Mental Health CurrentSince Nov 4, 2024 Accepting new patients
Goyal Medpsych Inc CurrentSince May 13, 2025 Accepting new patients

Locations

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

11211 Waples Mill Rd
Ste 150
Fairfax, VA 22030
Phone (703) 592-4600

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

12007 Sunrise Valley Dr
Ste 120
Reston, VA 20191
Phone (703) 478-0440

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

2110 Gallows Rd
Ste D
Vienna, VA 22182
Phone (703) 592-4600

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1538935689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 120",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913460",
            "telephone_number": "703-434-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12007 SUNRISE VALLEY DR STE 120",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913460",
            "telephone_number": "703-522-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVIER",
        "first_name": "ABIGAIL",
        "middle_name": "F",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.