Individual provider Active NPI

Douglas Mao

  • Mental Health Counselor
  • Sterling, VA
National Provider Identifier
1619597648
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701014878 Issued in VA
Practice address
21641 Ridgetop Cir Ste 210
Sterling, VA 20166-6597
Phone
(703) 771-5155
NPI assigned
Apr 20, 2020
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 0701014878 VA Primary

Addresses

Primary practice location

21641 Ridgetop Cir Ste 210
Sterling, VA 20166-6597

Mailing address

21641 Ridgetop Cir Ste 210
Sterling, VA 20166-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004582 VA Practitioner - Mental Health Counselor 1355858770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Loudoun VirginiaGroup PAC ID 8426039959, 30 clinicians

Practice addresses (Care Compare)

102 Heritage Way NE
Suite 302
Leesburg, VA 20176-4544
Phone (703) 771-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014878VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia CurrentSince Jul 14, 2025 Accepting new patients
County of Loudoun, Virginia CurrentSince Jul 14, 2025 Accepting new patients
County of Loudoun, Virginia Past Accepting new patients

Locations

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

102 Heritage Way NE
Ste 302
Leesburg, VA 20176
Phone (703) 771-5155

906 Trailview Blvd SE
Leesburg, VA 20175
Phone (703) 727-1640

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

21641 Ridgetop Cir
Ste 210
Sterling, VA 20166
Phone (571) 420-2202

Organizations & group practices 3

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": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1619597648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21641 RIDGETOP CIR STE 210",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21641 RIDGETOP CIR STE 210",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201666597",
            "telephone_number": "703-771-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.