Individual provider Active NPI

Douglas Edward Warford, LPC

  • Mental Health Counselor
  • Woodbridge, VA
National Provider Identifier
1629612510
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701008269 Issued in VA
Practice address
13885 Hedgewood Dr Ste 245
Woodbridge, VA 22193-7931
Phone
(703) 490-0336
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 0701008269 VA Primary

Addresses

Primary practice location

13885 Hedgewood Dr Ste 245
Woodbridge, VA 22193-7931

Mailing address

9276 Thornwood LN
Manassas, VA 20110-4629
Phone (540) 907-7433

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

State licenses

LicenseStateTypeSpecialty
0701008269VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological and Life Skills Associates, P.C. Single Specialty CurrentSince Nov 10, 2019 Accepting new patients
New Day Counseling, LLC Current Accepting new patients

Locations

13885 Hedgewood Dr
Ste 245
Woodbridge, VA 22193
Phone (703) 490-0336

Organizations & group practices 2

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1629612510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9276 THORNWOOD LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104629",
            "telephone_number": "540-907-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR STE 245",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937931",
            "telephone_number": "703-490-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARFORD",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701008269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

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