Individual provider Active NPI

Michael John Zeller, MA, LPC, NCC

  • Counselor
  • Leesburg, VA
National Provider Identifier
1831738400
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701009002 Issued in VA
Practice address
102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Phone
(202) 550-4432
NPI assigned
Dec 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701009002 VA Primary

Addresses

Primary practice location

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544

Mailing address

111 Prosperity Ave SE Apt C
Leesburg, VA 20175-4155
Phone (202) 550-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240123004357 VA Practitioner - Mental Health Counselor 0244682490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Loudoun VirginiaGroup PAC ID 8426039959, 30 clinicians

Practice addresses (Care Compare)

102 Heritage Way NE
Suite 302
Leesburg, VA 20176-4544
Phone (703) 771-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701009002VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Loudoun, Virginia CurrentSince Jan 1, 2024 Accepting new patients
County of Loudoun, Virginia CurrentSince Jan 1, 2024 Accepting new patients
Commonwealth Counseling Associates Inc Counselor PastSince Sep 17, 2022 Accepting new patients

Locations

102 Heritage Way NE
Ste 302
Leesburg, VA 20176
Phone (703) 771-5155

906 Trailview Blvd SE
Ste C
Leesburg, VA 20175
Phone (571) 583-3323

102 Heritage Way NE
Ste 102
Leesburg, VA 20176
Phone (703) 771-5155

21641 Ridgetop Cir
Ste 210
Sterling, VA 20166
Phone (571) 541-8727

Organizations & group practices 3

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": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1831738400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PROSPERITY AVE SE APT C",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754155",
            "telephone_number": "202-550-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HERITAGE WAY NE STE 302",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764544",
            "telephone_number": "202-550-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701009002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.