Individual provider Active NPI

Susan Beardsley Gatsos, LPC

  • Professional Counselor
  • MC Lean, VA
National Provider Identifier
1790792653
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003734 Issued in VA
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

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221000074 DC Practitioner - Mental Health Counselor 6901256601 Reassigns benefits to 1 organization

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
Womens CenterGroup PAC ID 5799745584, 16 clinicians

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

LicenseStateTypeSpecialty
0710101837VAMDAddiction (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

Verify at the official NPI Registry.