Individual provider Active NPI

Joan Odum Ordmandy, LPC

  • Professional Counselor
  • Herndon, VA
National Provider Identifier
1598820870
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004146 Issued in VA
Practice address
512 Herndon Pkwy Ste F
Herndon, VA 20170-5244
Phone
(703) 689-0449
Fax
(703) 689-0443
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0701004146 VA
EEG Specialist/Technologist 246ZE0500X 0701004146 VA
EEG Technician 2472E0500X 0701004146 VA
Professional Counselor 101YP2500X 0701004146 VA Primary

Addresses

Primary practice location

512 Herndon Pkwy Ste F
Herndon, VA 20170-5244

Mailing address

38669 Eudora LN
Hamilton, VA 20158-3307
Phone (540) 931-5100

Other practice location 1

38669 Eudora Ln
Hamilton, VA 20158-3307
Phone (540) 931-5100

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

LicenseStateTypeSpecialty
0701004146VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1598820870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38669 EUDORA LN",
            "city": "HAMILTON",
            "state": "VA",
            "postal_code": "201583307",
            "telephone_number": "540-931-5100",
            "fax_number": "540-338-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 HERNDON PKWY STE F",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705244",
            "telephone_number": "703-689-0449",
            "fax_number": "703-689-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38669 Eudora Ln",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "VA",
            "postal_code": "201583307",
            "country_code": "US",
            "telephone_number": "540-931-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORDMANDY",
        "first_name": "JOAN",
        "middle_name": "ODUM",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0701004146",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "VA",
            "license": "0701004146",
            "primary": false
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": "VA",
            "license": "0701004146",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.