Individual provider Active NPI

Emily N Girard, M.A. LPC

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1639559875
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006153 Issued in VA
Practice address
15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256
Phone
(703) 792-4900
Fax
(703) 792-5699
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006153 VA Primary

Addresses

Primary practice location

15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256

Mailing address

15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256
Phone (703) 792-4900

Other identifiers 1

IdentifierTypeStateIssuer
004945247MedicaidVA

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
I20240222001449 VA Practitioner - Mental Health Counselor 2163866732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701006153VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William County Community Services Board CurrentSince Jan 9, 2024 Accepting new patients
Prince William County CurrentSince Jan 9, 2024 Accepting new patients

Locations

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

15941 Donald Curtis Dr
Ste 200
Woodbridge, VA 22191
Phone (703) 792-4900

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, 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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1639559875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15941 DONALD CURTIS DR",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914256",
            "telephone_number": "703-792-4900",
            "fax_number": "703-792-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15941 DONALD CURTIS DR",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914256",
            "telephone_number": "703-792-4900",
            "fax_number": "703-792-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "EMILY",
        "middle_name": "N",
        "credential": "M.A. LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945247",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.