Individual provider Active NPI

Phyllis Q. Robinson, LPC

  • Counselor
  • Fairfax, VA
National Provider Identifier
1841556420
Registry record updated Apr 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701003491 Issued in VA
Practice address
3919 Old Lee Hwy
Suite 83 a
Fairfax, VA 22030-2430
Phone
(703) 408-6755
Fax
(703) 352-8805
NPI assigned
Apr 8, 2012
Last updated
Apr 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701003491 VA Primary

Addresses

Primary practice location

3919 Old Lee Hwy
Suite 83 a
Fairfax, VA 22030-2430

Mailing address

3919 Old Lee Hwy
Suite 83 a
Fairfax, VA 22030-2430
Phone (703) 408-6755

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
0701003491VAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333843200000",
    "number": "1841556420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 OLD LEE HWY",
            "address_2": "SUITE 83 A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302430",
            "telephone_number": "703-408-6755",
            "fax_number": "703-352-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 OLD LEE HWY",
            "address_2": "SUITE 83 A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302430",
            "telephone_number": "703-408-6755",
            "fax_number": "703-352-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PHYLLIS",
        "middle_name": "Q.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-08",
        "last_updated": "2012-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701003491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2012; 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.