Andrey Fadeyev, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904009834 Issued in VA

Practice address

300 N Washington St Ste 607
Alexandria, VA 22314-2544

Phone

(202) 656-3481

NPI assigned

Jun 13, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mentalmaptowellness

  • Group Psychotherapy Psychologist
  • Alexandria, VA
  • NPI 1003531906
  NPD Authorized official

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1619407673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 DIGGES TER",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 607",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142544",
            "telephone_number": "202-656-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEYEV",
        "first_name": "ANDREY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904009834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Angela Eyi-Mensah, DPT
• Ez Home Care LL.C.
• Ahmed Ezzeldin, D.D.S.
• F J Pepper MD PC
• Lisa Facinelli, LIC. AC., MAOM
• Harold Harvey Fagan, D.D.S.
• Shane Sibley Fagan, LCSW
• Nancy Y Fahmy, RPH
• Fairfax Home Health Care, Inc.
• Ashley Elizabeth Hughes Fairhurst, CFY-SLP

• Mental Health Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.