Individual provider Active NPI

Casey A Sarafinas, LPC

  • Mental Health Counselor
  • Stone Ridge, VA
National Provider Identifier
1700465697
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004119 Issued in VA
Practice address
24600 Millstream Dr Ste 340
Stone Ridge, VA 20105-5686
Phone
(703) 988-4491
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701004119 VA Primary

Addresses

Primary practice location

24600 Millstream Dr Ste 340
Stone Ridge, VA 20105-5686

Mailing address

24600 Millstream Dr Ste 340
Stone Ridge, VA 20105-5686
Phone (703) 988-4491

Other identifiers 1

IdentifierTypeStateIssuer
0701004119OtherVALPC LICENSE #

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL StoneRidge
CONNECT URL wellnessconnectionllc.com

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

LicenseStateTypeSpecialty
0701004119VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1700465697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR STE 340",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055686",
            "telephone_number": "703-988-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR STE 340",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055686",
            "telephone_number": "703-988-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARAFINAS",
        "first_name": "CASEY",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE #",
            "identifier": "0701004119",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "StoneRidge",
            "affiliation": "N",
            "address_1": "24600 Millstream Dr Ste 340",
            "city": "Stone Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201055686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wellnessconnectionllc.com",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "address_1": "24600 Millstream Drive",
            "address_2": "Suite 340",
            "city": "Stone Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stone Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.