Individual provider Active NPI

Ariel D Tal, LPC

  • Professional Counselor
  • Yorktown, VA
National Provider Identifier
1578196382
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011410 Issued in VA
Practice address
3630 George Washington Mem Hwy Ste F1
Yorktown, VA 23693-3350
Phone
(757) 768-8888
Fax
(757) 782-4004
NPI assigned
Feb 20, 2020
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011410 VA Primary

Addresses

Primary practice location

3630 George Washington Mem Hwy Ste F1
Yorktown, VA 23693-3350

Mailing address

3630 George Washington Mem Hwy Ste F1
Yorktown, VA 23693-3350
Phone (757) 768-8888

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
I20240912001364 VA Practitioner - Mental Health Counselor 7517407927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011410VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill M Nardin, LPC, PC Professional CurrentSince May 16, 2024 Accepting new patients
Bacon Street Youth and Family Services PastSince Feb 1, 2020 Accepting new patients

Locations

3630 George Washington Mem Hwy
Ste F1
Yorktown, VA 23693
Phone (757) 204-1866

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1578196382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE F1",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-768-8888",
            "fax_number": "757-782-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 GEORGE WASHINGTON MEM HWY STE F1",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236933350",
            "telephone_number": "757-768-8888",
            "fax_number": "757-782-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAL",
        "first_name": "ARIEL",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.