Active NPI
Susan Beardsley Gatsos, LPC
- Professional Counselor
- MC Lean, VA
National Provider Identifier
1790792653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003734
- Practice address
- 1489 Chain Bridge Rd Ste 203
MC Lean, VA 22101-5724 - Phone
- (703) 966-1434
- NPI assigned
- Aug 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710101837 | VA | |
| Professional Counselor | 101YP2500X | 0701003734 | VA | Primary |
Addresses
Primary practice location
1489 Chain Bridge Rd Ste 203
MC Lean, VA 22101-5724
Mailing address
1489 Chain Bridge Rd Ste 203
MC Lean, VA 22101-5724
Other practice location 1
8211 Willow Oaks Corp. Drive
Fairfax, VA 22031
Phone (703) 559-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8230 Old Courthouse Rd
Suite 500
Vienna, VA 22182-3840
Phone (571) 385-0903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710101837 | VA | MD | Addiction (Substance Use Disorder) Counselor |
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": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1790792653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1489 CHAIN BRIDGE RD STE 203",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 CHAIN BRIDGE RD STE 203",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015724",
"telephone_number": "703-966-1434"
}
],
"practiceLocations": [
{
"address_1": "8211 Willow Oaks Corp. Drive",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "22031",
"country_code": "US",
"telephone_number": "703-559-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATSOS",
"first_name": "SUSAN",
"middle_name": "BEARDSLEY",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2023-12-01",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710101837",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.