Individual provider Active NPI

Jennifer Barnes, LPC, LCPC, NCC

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1760818967
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006536 Issued in VA
Practice address
3025 Hamaker CT Ste 450
Fairfax, VA 22031
Phone
(703) 204-9100
Fax
(301) 468-1862
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4631 MD
Professional Counselor 101YP2500X 0701006536 VA Primary

Addresses

Primary practice location

3025 Hamaker CT Ste 450
Fairfax, VA 22031

Mailing address

10560 Main St PH 4
Fairfax, VA 22030-7182
Phone (571) 494-9033

Other practice location 1

200 Wood Hill Rd
Rockville, MD 20850-8724
Phone (301) 838-4200

Other practice location 2

10560 Main St Ph 4
Fairfax, VA 22030-7182
Phone (571) 494-9033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215000968 DC Practitioner - Mental Health Counselor 2769831700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Social Service AgencyGroup PAC ID 8123920097, 22 clinicians

Practice addresses (Care Compare)

3025 Hamaker CT
Suite 450
Fairfax, VA 22031-2237
Phone (703) 204-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4631MDMDMental Health Counselor
0701006536VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Social Service Agency Professional CurrentSince Jan 1, 2024 Accepting new patients
Jewish Social Service Agency Current Accepting new patients
Jewish Social Service Agency CurrentSince Jan 1, 2024 Accepting new patients

Locations

6123 Montrose Rd
Rockville, MD 20852
Phone (301) 838-4200

200 Wood Hill Rd
Rockville, MD 20850
Phone (240) 800-5772

3025 Hamaker Ct
Ste 450
Fairfax, VA 22031
Phone (240) 800-5772

Organizations & group practices 3

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1760818967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST PH 4",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "571-494-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-204-9100",
            "fax_number": "301-468-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Wood Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508724",
            "country_code": "US",
            "telephone_number": "301-838-4200",
            "fax_number": "301-468-1862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10560 Main St Ph 4",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220307182",
            "country_code": "US",
            "telephone_number": "571-494-9033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JENNIFER",
        "credential": "LPC, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4631",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.