Individual provider Active NPI

Maryann Byrne, LPC, NCC

  • Professional Counselor
  • Stafford, VA
National Provider Identifier
1851715312
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002717 Issued in VA
Practice address
108 Brandice St
Stafford, VA 22554
Phone
(540) 424-9127
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 0701002717 VA Primary

Addresses

Primary practice location

108 Brandice St
Stafford, VA 22554

Mailing address

108 Brandice St
Stafford, VA 22554-7197
Phone (540) 424-9127

Other identifiers 1

IdentifierTypeStateIssuer
1851715312MedicaidVA

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
I20240119003363 VA Practitioner - Mental Health Counselor 3173975653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Byrne Behavioral Health CurrentSince Aug 1, 2026 Accepting new patients
Resilience Counseling & Social Skills Center LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1135 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 699-0226

306 Westwood Office Park
Fredericksburg, VA 22401
Phone (540) 699-0226

325 Wallace St
Ste 7
Fredericksburg, VA 22401

5374 Twin Hickory Rd
Glen Allen, VA 23059
Phone 5406990226 ext. 156

6524 Woodlake Village Cir
Midlothian, VA 23112
Phone (540) 699-0226

2052 Richmond Hwy
Ste 201
Stafford, VA 22554
Phone (540) 699-0226

Organizations & group practices 2

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1851715312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BRANDICE ST",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547197",
            "telephone_number": "540-424-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BRANDICE ST",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "540-424-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "MARYANN",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851715312",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.