Revati Shashank Deshpande

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704017444 Issued in VA

Practice address

1485 Chain Bridge Rd Ste 300
MC Lean, VA 22101-4501

Phone

(703) 534-5100

NPI assigned

Oct 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunstone Counseling, PLLC

  dba Sunstone Counseling

  • Clinical Social Worker
  • Falls Church, VA
  • NPI 1740749258

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1861212474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 GALLOWS RD APT 204",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221807139",
            "telephone_number": "908-395-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 CHAIN BRIDGE RD STE 300",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014501",
            "telephone_number": "703-534-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "REVATI",
        "middle_name": "SHASHANK",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derm Consults Online PC
• Dermatology Associates of McLean
• Michael Stuart Derose, D.C.
• Stacey Lynn Dershewitz, PSY.D.
• Nicholas Desantis, DC
• Maia Selena Deubert, PSY.D.
• William G. Deubert, PSY.D.
• Jeena Elizabeth Devasia, D.D.S.
• Joannie Ivette Deveaux
• Regina Devlin, CPNP, IBCLC, PMHS

• Mental Health Counselor in McLean, VA
• Providers in McLean, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.