Martin Deahl, NCACII,CSAC,SAP,QMHP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710102778 Issued in VA

Practice address

2331 Old Mill Road
Suite 100
Alexandria, VA 22314

Phone

(703) 224-8929

NPI assigned

Feb 20, 2014

Last updated

Feb 20, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1629493101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 WESTCOTT ST",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421922",
            "telephone_number": "703-224-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 OLD MILL ROAD",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-224-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAHL",
        "first_name": "MARTIN",
        "credential": "NCACII,CSAC,SAP,QMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelly De Luca
• Karen M De Mijango, LCSW
• Joshua Cortes De Sagun, FNP- BC
• Natalie Lauren De Selding, DPT
• Marjorie De Veer, LICSW
• Andrea Deal, LPC
• Erica Deam, NP-C
• Dean J Storer MD PC
• Lauren Elizabeth Deangelis, CRNA
• Daniel J Deary, CRNA

• Addiction (Substance Use Disorder) Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.