Lisa McCarthy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012696 Issued in VA

Practice address

3950 Chain Bridge Rd
Fairfax, VA 22030-3935

Phone

(571) 234-9184

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 19, 2024 through Sep 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Greenspace Counseling, LLC

  • Professional Counselor
  • Burke, VA
  • NPI 1992535009
  NPD Authorized official
• Brain Injury Servcies

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • Springfield, VA
  • NPI 1215316138
  NPD
• Everwhen Therapy, LLC

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1619489424
  NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1649955402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 ADRIENNE GLEN AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523540",
            "telephone_number": "703-304-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303935",
            "telephone_number": "571-234-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "070403459",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia McCarrick
• Nancy M McCarthey, CPNP
• Carly Ann McCarthy, M.A., CCC-SLP
• Kyle McCarthy
• Laura Marie McCarthy, RN, IBCLC
• Timothy Andrew McCarthy, M.D.
• Paul H McClain, MD
• Amanda Nicole McClay, CNM, WHNP-BC
• Cammy McCleskey, MSW
• William McClintock, MD

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.