Active NPI
Laura Emily Dowling, MS
- Marriage & Family Therapist
- Woodbridge, VA
National Provider Identifier
1851980833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717002000
- Practice address
- 14497 Potomac Mills Rd
#1211
Woodbridge, VA 22192-6807 - Phone
- (703) 249-9175
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717002000 | VA | Primary |
Addresses
Primary practice location
14497 Potomac Mills Rd
#1211
Woodbridge, VA 22192-6807
Mailing address
14497 Potomac Mills Rd
#1211
Woodbridge, VA 22192-6807
Phone (703) 249-9175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 25, 2024 through Feb 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717002000 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1851980833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14497 POTOMAC MILLS RD",
"address_2": "#1211",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926807",
"telephone_number": "703-249-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14497 POTOMAC MILLS RD",
"address_2": "#1211",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926807",
"telephone_number": "703-249-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWLING",
"first_name": "LAURA",
"middle_name": "EMILY",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717002000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.