Erin Killiany St Louis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001363 Issued in VA

Practice address

10640 Page Ave Ste 330
Fairfax, VA 22030-4012

Phone

(571) 242-2991

NPI assigned

Aug 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Margaret Killiany Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Potomac Center Inc

  • Professional Counselor
  • Alexandria, VA
  • NPI 1457403099
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1740735240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 330",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304012",
            "telephone_number": "571-242-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 330",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304012",
            "telephone_number": "571-242-2991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Holmes Run Pkwy",
            "address_2": "Suite C4",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223042863",
            "country_code": "US",
            "telephone_number": "703-379-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST LOUIS",
        "first_name": "ERIN",
        "middle_name": "KILLIANY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "106H00000X",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KILLIANY",
            "middle_name": "MARGARET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Sprow
• Tori Sprowl
• Stephen G Spurr, M.D.
• Jennifer Ballard Squires, APRN, BC (NURSEPRACT
• Manasa M Sridhar, D.O.
• Stephen Christopher St Louis, DDS, FAGD
• Stephanie St Peter
• Kyle Andre St. Peter, LAT, ATC
• Alicia Derusso St. Thomas, MD
• Michaela Marie Stacy

• Marriage & Family Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.