Active NPI
John Francis Fletcher Jr., L.P.C.
- Professional Counselor
- Ashburn, VA
National Provider Identifier
1669721718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701-001978
- Practice address
- 44081 Pipeline Plaza #320
Ashburn, VA 20147 - Phone
- (703) 636-2888
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- 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 | 0701-001978 | VA | Primary |
Addresses
Primary practice location
44081 Pipeline Plaza #320
Ashburn, VA 20147
Mailing address
19757 Estancia Terr
Ashburn, VA 20147
Phone (703) 858-9624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 6, 2024 through Jun 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701-001978 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523404800000",
"number": "1669721718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19757 ESTANCIA TERR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-858-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44081 PIPELINE PLAZA #320",
"city": "ASHBURN",
"state": "VA",
"postal_code": "20147",
"telephone_number": "703-636-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JOHN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2018-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701-001978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.