Active NPI
John Shinners Reibling, MSW, LCSW
- Mental Health Counselor
- Alexandria, VA
National Provider Identifier
1801231782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904002857
- Practice address
- 3712 Lyons LN
Alexandria, VA 22302-2013 - Phone
- (703) 671-7068
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904002857 | VA | Primary |
Addresses
Primary practice location
3712 Lyons LN
Alexandria, VA 22302-2013
Mailing address
3712 Lyons LN
Alexandria, VA 22302-2013
Phone (703) 671-7068
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002857 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1801231782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 LYONS LN",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022013",
"telephone_number": "703-671-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 LYONS LN",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223022013",
"telephone_number": "703-671-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIBLING",
"first_name": "JOHN",
"middle_name": "SHINNERS",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904002857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.