Active NPI
Edwin V Sanchez, ASSOCIATE LPCC
- Counselor
- Dulles, VA
National Provider Identifier
1699428896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-22656
- Practice address
- 8500 Madrid PL
Dulles, VA 20189-8502 - Phone
- (520) 301-6889
- NPI assigned
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Counselor | 101Y00000X | LPC-22656 | AZ | Primary |
Addresses
Primary practice location
8500 Madrid PL
Dulles, VA 20189-8502
Mailing address
2420 Martin Rd Ste 200
Fairfield, CA 94534-8610
Phone (707) 399-4520
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-22656 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1538221403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1699428896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 MARTIN RD STE 200",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945348610",
"telephone_number": "707-399-4520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 MADRID PL",
"city": "DULLES",
"state": "VA",
"postal_code": "201898502",
"telephone_number": "520-301-6889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "EDWIN",
"middle_name": "V",
"credential": "ASSOCIATE LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-28",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-22656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dulles, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.