Individual provider Active NPI

Ajit Wettasinghe, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1811903032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701003924 Issued in VA
Practice address
8850 Richmond Hwy Ste 202
Alexandria, VA 22309-1586
Phone
(703) 704-6204
Fax
(703) 799-1053
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0701003924 VA Primary

Addresses

Primary practice location

8850 Richmond Hwy Ste 202
Alexandria, VA 22309-1586

Mailing address

13134 Opal LN
Woodbridge, VA 22193-7006
Phone (703) 680-1906

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
0701003924VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811903032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13134 OPAL LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937006",
            "telephone_number": "703-680-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 RICHMOND HWY STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223091586",
            "telephone_number": "703-704-6204",
            "fax_number": "703-799-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTASINGHE",
        "first_name": "AJIT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003924",
            "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 Jul 8, 2007; 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.