Siria Minaya, MA, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704014702 Issued in VA

Practice address

44340 Premier PLZ Ste 230
Ashburn, VA 20147-5074

Phone

(703) 646-7664

NPI assigned

Mar 11, 2024

Sex

Female

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Insight Recovery Centers

  • Community/Behavioral Health Agency
  • Ashburn, VA
  • NPI 1588130744
  NPD (past)

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1649038126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ STE 230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475074",
            "telephone_number": "703-646-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44340 PREMIER PLZ STE 230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475074",
            "telephone_number": "703-646-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAYA",
        "first_name": "SIRIA",
        "credential": "MA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Nicole Mikkelsen, MS, LAT, ATC
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• Kimberly Miner, PHD
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• Bibhu R Misra, D.C., M.SC.
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• Mental Health Counselor in Ashburn, VA
• Providers in Ashburn, 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 Mar 11, 2024; 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.