Individual provider Active NPI

Juan Carlos Couto Llinas, PSY.D.

  • Psychologist
  • Richmond, VA
National Provider Identifier
1699315127
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810005065 Issued in VA
Practice address
8401 Mayland Dr Ste a
Richmond, VA 23294-4648
Phone
(703) 539-2929
NPI assigned
Jan 13, 2020
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810005065 VA Primary

Addresses

Primary practice location

8401 Mayland Dr Ste a
Richmond, VA 23294-4648

Mailing address

8401 Mayland Dr Ste a
Richmond, VA 23294-4648
Phone (703) 539-2929

Other practice location 1

2100 Washington Blvd
Arlington, VA 22204-5703
Phone (703) 228-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20231016001033 DC Practitioner - Clinical Psychologist 3274988993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 Washington Blvd
Arlington, VA 22204-5717
Phone (703) 228-1611

2100 Washington Blvd
Suite 400
Arlington, VA 22204-5703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington County Government Department of Managment & Finance CurrentSince Oct 23, 2024 Accepting new patients

Locations

2100 Washington Blvd
Arlington, VA 22204
Phone (703) 228-1600

2100 Washington Blvd
Fl 4
Arlington, VA 22204
Phone (703) 228-1600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1699315127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "703-539-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "703-539-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222045703",
            "country_code": "US",
            "telephone_number": "703-228-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUTO LLINAS",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.