Active NPI
Julio Adrian Saavedra Montijo, LICDC
- Addiction (Substance Use Disorder) Counselor
- MC Lean, VA
National Provider Identifier
1568243798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.162911
- Practice address
- 1640 Boro PL FL 4
MC Lean, VA 22102-3627 - Phone
- (323) 522-2218
- NPI assigned
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000465A | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162911 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LIAC-155409 | AZ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LASAC-15464 | AZ |
Addresses
Primary practice location
1640 Boro PL FL 4
MC Lean, VA 22102-3627
Mailing address
1640 Boro PL FL 4
MC Lean, VA 22102-3627
Phone (323) 522-2218
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 |
|---|---|---|---|
| LASAC-15464 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affect Therapeutics Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Affect Therapeutics, Inc. | Past | Accepting new patients |
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Charlottesville, VA
- NPI 1104402064
Addiction (Substance Use Disorder)
-
- Adult Mental Health Clinic/Center
- Athens, OH
- NPI 1528878832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1568243798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 BORO PL FL 4",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023627",
"telephone_number": "323-522-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 BORO PL FL 4",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023627",
"telephone_number": "323-522-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA MONTIJO",
"first_name": "JULIO",
"middle_name": "ADRIAN",
"credential": "LICDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-12",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000465A",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162911",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LIAC-155409",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LASAC-15464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.