Individual provider Active NPI

Jonathan M.C. Oliver, LPC

  • Mental Health Counselor
  • Woodbridge, VA
National Provider Identifier
1689551442
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701015275 Issued in VA
Practice address
13434 Nascoby LN
Woodbridge, VA 22193-4103
Phone
(703) 314-7925
NPI assigned
Aug 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701015275 VA Primary

Addresses

Primary practice location

13434 Nascoby LN
Woodbridge, VA 22193-4103

Mailing address

13434 Nascoby LN
Woodbridge, VA 22193-4103
Phone (703) 314-7925

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251124003057 VA Practitioner - Mental Health Counselor 6800388174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Therapy Group LLCGroup PAC ID 0840547824, 7 clinicians

Practice addresses (Care Compare)

8140 Ashton Ave
Suite 200
Manassas, VA 20109-5701
Phone (703) 330-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015275VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Therapy Group LLC Mental Health CurrentSince Oct 31, 2025 Accepting new patients

Locations

8140 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (703) 330-9933

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1689551442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13434 NASCOBY LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934103",
            "telephone_number": "703-314-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13434 NASCOBY LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934103",
            "telephone_number": "703-314-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JONATHAN",
        "middle_name": "M.C.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701015275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.