Individual provider Active NPI

Jennifer Liden Carlton, LPC

  • Professional Counselor
  • Ashburn, VA
National Provider Identifier
1700151966
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005190 Issued in VA
Practice address
22505 Landmark CT Ste 210B
Ashburn, VA 20148-6502
Phone
(571) 623-3500
Fax
(703) 204-9001
NPI assigned
Mar 20, 2012
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005190 VA Primary

Addresses

Primary practice location

22505 Landmark CT Ste 210B
Ashburn, VA 20148-6502

Mailing address

22505 Landmark CT Ste 210B
Ashburn, VA 20148-6502
Phone (571) 623-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240422000664 DC Practitioner - Mental Health Counselor 8820437023 Reassigns benefits to 1 organization
I20240624004204 VA Practitioner - Mental Health Counselor 8820437023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
George Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5758

22505 Landmark CT
Suite 210a
Ashburn, VA 20148-6502
Phone (571) 623-3500

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7560

8505 Arlington Blvd
Fairfax, VA 22031-4630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005190VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Feb 27, 2024 Accepting new patients
Inova Health Care Services CurrentSince Feb 27, 2024 Accepting new patients

Locations

22505 Landmark Ct
Ste 210A
Ashburn, VA 20148
Phone (571) 623-3500

22505 Landmark Ct
Ste 210B
Ashburn, VA 20148
Phone (571) 612-6350

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 2

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1700151966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 LANDMARK CT STE 210B",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486502",
            "telephone_number": "571-623-3500",
            "fax_number": "703-204-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22505 LANDMARK CT STE 210B",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201486502",
            "telephone_number": "571-623-3500",
            "fax_number": "703-204-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "JENNIFER",
        "middle_name": "LIDEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.