Lisa Ann Abercrombie
Individual provider Active NPI Mental Health Counselor · Chantilly, VA
NPI 1851220602 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1851220602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 0704017474 (VA)
- Practice address
- 4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671 - Phone
- (703) 200-8695
- NPI assigned
- May 18, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704017474 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ezekiel37 Counseling LLC | Multi-Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704017474 | VA | Yes |
Addresses
Primary practice location
4460 Brookfield Corporate Dr Ste H
Chantilly, VA 20151-1671
Mailing address
21538 Tithables Cir
Broadlands, VA 20148-5009
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- Ifedeji Abifarin
- Tina Abolghasemi
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All providers in Chantilly, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.