Individual provider Active NPI

Jacalyn Robin Paislet, LPC, LMFT

  • Professional Counselor
  • Herndon, VA
National Provider Identifier
1689723405
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001499 Issued in VA
Practice address
489 Carlisle Dr Ste B
Herndon, VA 20170-4897
Phone
(703) 476-3899
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001499 VA Primary
Marriage & Family Therapist 106H00000X 0717000614 VA

Addresses

Primary practice location

489 Carlisle Dr Ste B
Herndon, VA 20170-4897

Mailing address

489 Carlisle Dr Ste B
Herndon, VA 20170-4897
Phone (703) 476-3899

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

LicenseStateTypeSpecialty
0701001499VAMDProfessional Counselor
0717000614VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1689723405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704897",
            "telephone_number": "703-476-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704897",
            "telephone_number": "703-476-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISLET",
        "first_name": "JACALYN",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001499",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.