Individual provider Active NPI

Esther Hyunsun Hwang

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1740934140
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010644 Issued in VA
Practice address
10379B Democracy LN
Fairfax, VA 22030-2505
Phone
(571) 530-9538
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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 0701010644 VA Primary

Addresses

Primary practice location

10379B Democracy LN
Fairfax, VA 22030-2505

Mailing address

10379B Democracy LN
Fairfax, VA 22030-2505
Phone (571) 530-9538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2024 through Apr 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701010644VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1740934140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10379B DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302505",
            "telephone_number": "571-530-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10379B DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302505",
            "telephone_number": "571-530-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "ESTHER",
        "middle_name": "HYUNSUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.