Emily A Siqveland, M.A., LPC

Individual provider Active NPI Professional Counselor · Arlington, VA

NPI 1598075491 · NPPES record last updated Jan 6, 2016

Key facts

NPI
1598075491
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0701006446 (VA)
Practice address
2100 Washington Blvd
FL 4
Arlington, VA 22204-5703
Phone
(703) 228-1698
Fax
(703) 228-1117
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701006446VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington County Government Department of Managment & Finance Past Accepting new patients
Arlington County Government Department of Managment & Finance Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 0701006446 VA Yes

Addresses

Primary practice location

2100 Washington Blvd
FL 4
Arlington, VA 22204-5703

Mailing address

2100 Washington Blvd
FL 4
Arlington, VA 22204-5703
Phone (703) 228-1698

Other names

  • Emily Buckley Former name

Other providers in Arlington, VA

All providers in Arlington, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.