Jillian Elizabeth Gorman, LPC, LSATP, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012663 Issued in VA

Practice address

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516

Phone

(415) 424-4266

Fax

(415) 520-6633

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Jillian Elizabeth Olson Former name

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

Medicare enrollment (NPD)

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.

• Hampton Newport News Community Services Board

  • Community/Behavioral Health Agency
  • Hampton, VA
  • NPI 1659424448

  Rehabilitation, Substance Use Disorder

  Medicare reassignment NPD
• Jillian Olson Counseling Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Omaha, NE
  • NPI 1477272912
  NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1659032399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ESTERS BLVD STE 900",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632233",
            "telephone_number": "154-244-2664",
            "fax_number": "415-520-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 WILLOW OAKS CORPORATE DR STE 600",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314516",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9388 Branch Lane",
            "address_purpose": "LOCATION",
            "city": "Nassawadox",
            "state": "VA",
            "postal_code": "234130759",
            "country_code": "US",
            "telephone_number": "757-709-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Medical Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236661769",
            "country_code": "US",
            "telephone_number": "402-431-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5018 Nicholas St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681321432",
            "country_code": "US",
            "telephone_number": "757-709-1437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6478 Belroi Rd",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230613836",
            "country_code": "US",
            "telephone_number": "757-709-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JILLIAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LPC, LSATP, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103769",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12841",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "VA",
            "license": "0718000616",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012663",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2- GROUP",
            "identifier": "1477272912",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027432500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "OLSON",
            "middle_name": "ELIZABETH",
            "credential": "LPC, LDAC, LIMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sushmita Bharat Gordhandas, M.D.
• Gabrielle Marie Gordon
• Lisa Davis Gore, LCSW
• Sarah Ashley Gore, MD
• Riley Gorey
• Sarah Gortenburg, LCSW
• Annabeth Goss, NC
• Sarah Goswick
• Melanie Gott, LPC
• Cara Gottheim, PSY.D.

• 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 Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.