Individual provider Active NPI

Katherine Maestre Caro, LGPC

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1578028460
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGPC00413 Issued in DC
Practice address
3020 14TH St NW
Washington, DC 20009-6865
Phone
(202) 745-4300
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 LGPC00413 DC Primary

Addresses

Primary practice location

3020 14TH St NW
Washington, DC 20009-6865

Mailing address

15 Haxall CT
Sterling, VA 20165-5751
Phone (571) 376-1706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240209000342 VA Practitioner - Mental Health Counselor 6901249663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Loudoun VirginiaGroup PAC ID 8426039959, 30 clinicians

Practice addresses (Care Compare)

102 Heritage Way NE
Suite 302
Leesburg, VA 20176-4544
Phone (703) 771-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGPC00413DCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia CurrentSince Jan 1, 2024 Accepting new patients
County of Loudoun, Virginia CurrentSince Jan 1, 2024 Accepting new patients

Locations

102 Heritage Way NE
Ste 302
Leesburg, VA 20176
Phone (703) 771-5155

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

21641 Ridgetop Cir
Ste 210
Sterling, VA 20166
Phone (571) 541-8727

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1578028460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAXALL CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655751",
            "telephone_number": "571-376-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 14TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200096865",
            "telephone_number": "202-745-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRE CARO",
        "first_name": "KATHERINE",
        "credential": "LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "LGPC00413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.