Active NPI
Virginia Jones Moore, LPC, PSYD
- Professional Counselor
- MC Lean, VA
National Provider Identifier
1669620217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002276
- Practice address
- 6862 Elm St
MC Lean, VA 22101-3897 - Phone
- (703) 550-4355
- NPI assigned
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002276 | VA | Primary |
Addresses
Primary practice location
6862 Elm St
MC Lean, VA 22101-3897
Mailing address
215 N Cherry St
Falls Church, VA 22046-3521
Phone (703) 408-2594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701002276 | Other | VA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002276 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1669620217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N CHERRY ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463521",
"telephone_number": "703-408-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6862 ELM ST",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013897",
"telephone_number": "703-550-4355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "VIRGINIA",
"middle_name": "JONES",
"credential": "LPC, PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002276",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0701002276",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.