Individual provider Active NPI

Rashanna McKenzie-Conley, MS, CSAC, QMHP A & C

  • Addiction (Substance Use Disorder) Counselor
  • Leesburg, VA
National Provider Identifier
1548094832
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103858 Issued in VA
Practice address
224D Cornwall St NW Ste 211
Leesburg, VA 20176-2704
Phone
(702) 729-5553
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103858 VA Primary

Addresses

Primary practice location

224D Cornwall St NW Ste 211
Leesburg, VA 20176-2704

Mailing address

224D Cornwall St NW Ste 211
Leesburg, VA 20176-2704

Other practice location 1

14348 Yesler Ave
Chantilly, VA 20151-2549
Phone (540) 850-0529

Other practice location 2

9301 Forest Point Cir
Manassas, VA 20110-4700
Phone (703) 981-6403

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0710103858VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1548094832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 211",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 211",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "702-729-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14348 Yesler Ave",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201512549",
            "country_code": "US",
            "telephone_number": "540-850-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9301 Forest Point Cir",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104700",
            "country_code": "US",
            "telephone_number": "703-981-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE-CONLEY",
        "first_name": "RASHANNA",
        "credential": "MS, CSAC, QMHP A & C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.