NPIMap

Organization Active NPI

Red Cedar Counseling, PLLC

  • Professional Counselor
  • Leesburg, VA
National Provider Identifier
1699074435
Registry record updated Mar 18, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004060 Issued in VA
Legal business name
RED CEDAR COUNSELING, PLLC
Practice address
20755 Red Cedar Drive
Professional Counseling Department
Leesburg, VA 20175-8787
Phone
(703) 829-3752
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Mrs. Lizbeth Sam, LPC
Title
Director of Clinical Services
Phone
(703) 829-3752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701004060 VA Primary

Addresses

Primary practice location

20755 Red Cedar Drive
Professional Counseling Department
Leesburg, VA 20175-8787

Mailing address

20755 Red Cedar Drive
Professional Counseling Department
Leesburg, VA 20175-8787
Phone (703) 829-3752

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1699074435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 RED CEDAR DRIVE",
            "address_2": "PROFESSIONAL COUNSELING DEPARTMENT",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758787",
            "telephone_number": "703-829-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 RED CEDAR DRIVE",
            "address_2": "PROFESSIONAL COUNSELING DEPARTMENT",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201758787",
            "telephone_number": "703-829-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CEDAR COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "703-829-3752",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.