Individual provider Active NPI

Rachel Eileen Dorsa, LPC

  • Professional Counselor
  • Chantilly, VA
National Provider Identifier
1700327848
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012012 Issued in VA
Practice address
4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671
Phone
(571) 261-8239
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 0701012012 VA Primary

Addresses

Primary practice location

4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671

Mailing address

4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671
Phone (571) 261-8239

Other identifiers 2

IdentifierTypeStateIssuer
13983189OtherCAQH
0701012012OtherVAVIRGINIA BOARD OF COUNSELING

Other names 1

  • Rachel Bach Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012012VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1700327848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 BROOKFIELD CORPORATE DR STE H",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511671",
            "telephone_number": "571-261-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 BROOKFIELD CORPORATE DR STE H",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511671",
            "telephone_number": "571-261-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSA",
        "first_name": "RACHEL",
        "middle_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13983189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF COUNSELING",
            "identifier": "0701012012",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BACH",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.