Individual provider Active NPI

Bridgette Paige Aguilar-Dishman

  • Professional Counselor
  • McLean, VA
National Provider Identifier
1780499269
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0704017394 Issued in VA
Practice address
6861 Elm St Ste 3a
MC Lean, VA 22101-6036
Phone
(571) 200-5518
NPI assigned
Feb 11, 2025
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 0704017394 VA Primary

Addresses

Primary practice location

6861 Elm St Ste 3a
MC Lean, VA 22101-6036

Mailing address

1110 Fidler LN Apt 506
Silver Spring, MD 20910-3448
Phone (240) 355-0071

Other practice location 1

1110 Fidler Ln Apt 506
Silver Spring, MD 20910-3448
Phone (240) 355-0071

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

LicenseStateTypeSpecialty
0704017394VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1780499269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 FIDLER LN APT 506",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103448",
            "telephone_number": "240-355-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6861 ELM ST STE 3A",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221016036",
            "telephone_number": "571-200-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Fidler Ln Apt 506",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103448",
            "country_code": "US",
            "telephone_number": "240-355-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR-DISHMAN",
        "first_name": "BRIDGETTE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704017394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.