Individual provider Active NPI

Caroline Sciullo, M.A.

  • Mental Health Counselor
  • Leesburg, VA
National Provider Identifier
1609617208
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
26 N King St Ste 210
Leesburg, VA 20176-2846
Phone
(571) 252-9212
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 Primary

Addresses

Primary practice location

26 N King St Ste 210
Leesburg, VA 20176-2846

Mailing address

42020 Village Center Plaza
Ste 120 #592
Stone Ridge, VA 20105

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cara Holistic Counseling, LLC Mental Health CurrentSince Aug 18, 2024 Accepting new patients

Locations

26 N King St
Ste 210
Leesburg, VA 20176
Phone (571) 252-9212

42020 Village Center Plz
Ste 120
Stone Ridge, VA 20105
Phone (571) 206-1616

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1609617208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLAZA",
            "address_2": "STE 120 #592",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "20105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N KING ST STE 210",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762846",
            "telephone_number": "571-252-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIULLO",
        "first_name": "CAROLINE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.