Active NPI
Elizabeth Bailey
- Counselor
- Fairfax, VA
National Provider Identifier
1740640671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701005865
- Practice address
- 8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253 - Phone
- (703) 852-7015
- Fax
- (703) 641-4693
- NPI assigned
- Mar 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701005865 | VA | Primary |
Addresses
Primary practice location
8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253
Mailing address
8221 Willow Oaks Corporate Dr Ste 4-430
Fairfax, VA 22031-4512
Phone (571) 623-3545
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 |
|---|---|---|---|
| 0701005865 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1740640671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR STE 4-430",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "571-623-3545",
"fax_number": "703-289-4614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 EXECUTIVE PARK AVE STE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312253",
"telephone_number": "703-852-7015",
"fax_number": "703-641-4693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701005865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.