Active NPI
Anita Diguglielmo Novak, L.P.C.
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1861519696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 070-100-1547
- Practice address
- 10400 Eaton PL
#110
Fairfax, VA 22030-2208 - Phone
- (703) 437-4920
- Fax
- (703) 620-2121
- NPI assigned
- Mar 25, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 070-100-1547 | VA | Primary |
Addresses
Primary practice location
10400 Eaton PL
#110
Fairfax, VA 22030-2208
Mailing address
10400 Eaton PL
#110
Fairfax, VA 22030-2208
Phone (703) 437-4920
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-100-1547 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861519696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 EATON PL",
"address_2": "#110",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302208",
"telephone_number": "703-437-4920",
"fax_number": "703-620-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10400 EATON PL",
"address_2": "#110",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302208",
"telephone_number": "703-437-4920",
"fax_number": "703-620-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "ANITA",
"middle_name": "DIGUGLIELMO",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "070-100-1547",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.