Edith Soyeon Lee, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3915 Old Lee Hwy Ste 23a
Fairfax, VA 22030-2432

Phone

(703) 259-5617

NPI assigned

Aug 1, 2020

Last updated

Aug 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Family Counseling Center of Greater Washington

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vienna, VA
  • NPI 1295367753
  NPD (past)

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1700496122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 MCLEAN PROVINCE CIR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431668",
            "telephone_number": "703-531-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 OLD LEE HWY STE 23A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302432",
            "telephone_number": "703-259-5617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 Gallows Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823823",
            "country_code": "US",
            "telephone_number": "703-761-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDITH",
        "middle_name": "SOYEON",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corazon Giron Lee, MD
• Crystal Lee
• Daniel Ho-Yoon Lee, DPT
• David Y Lee, M.D.
• Deborah Lee, MA CCC-SLP
• Emily Ellen Lee
• Eun Hea Lee, L.AC
• Eunhae Lee
• Fu-Lin Yang Lee, PH.D.
• Grace Lee, MD

• Mental Health Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2020; 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.