Organization Active NPI

Loudoun Psychotherapy and Counseling Services LLC

  • Clinical Social Worker
  • Sterling, VA
National Provider Identifier
1831898055
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOUDOUN PSYCHOTHERAPY AND COUNSELING SERVICES LLC
Practice address
17 Asbury Way
Sterling, VA 20165-5785
Phone
(571) 329-1042
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Julie V Naquin, LCSWNPI 1801556097
Title
Owner
Phone
(571) 329-1042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

17 Asbury Way
Sterling, VA 20165-5785

Mailing address

17 Asbury Way
Sterling, VA 20165-5785
Phone (571) 329-1042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230410001868 VA Part B Supplier - Clinic/Group Practice 7719352533 Receives reassigned benefits from 2 practitioners
Practice locations: Sterling, VA

National Provider Directory

National Provider Directory

Locations

20931 Ashburn Rd
Ste 245
Ashburn, VA 20147
Phone (540) 307-2982

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1831898055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ASBURY WAY",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655785",
            "telephone_number": "571-329-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ASBURY WAY",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655785",
            "telephone_number": "571-329-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN PSYCHOTHERAPY AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "NAQUIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-329-1042",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.