Individual provider Active NPI

Emily Coogan

  • Counselor
  • Fairfax, VA
National Provider Identifier
1609413533
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3975 University Dr Ste 110
Fairfax, VA 22030-2520
Phone
(540) 845-6940
NPI assigned
Dec 10, 2019
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

3975 University Dr Ste 110
Fairfax, VA 22030-2520

Mailing address

2121 Eisenhower Ave Ste 501
Alexandria, VA 22314-4688

Other practice location 1

2121 Eisenhower Ave Ste 501
Alexandria, VA 22314-4688
Phone (540) 845-6940

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Therapy PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

2121 Eisenhower Ave
Ste 501
Alexandria, VA 22314
Phone (540) 845-6950

3975 University Dr
Ste 110
Fairfax, VA 22030

Organizations & group practices 1

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1609413533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 UNIVERSITY DR STE 110",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302520",
            "telephone_number": "540-845-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Eisenhower Ave Ste 501",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144688",
            "country_code": "US",
            "telephone_number": "540-845-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.