Active NPI
Maribel E Velez, LPC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1861965709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007658
- Practice address
- 2680 Opitz Blvd Ste 220
Woodbridge, VA 22192-6822 - Phone
- (703) 490-1905
- Fax
- (703) 497-1225
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007658 | VA | Primary |
Addresses
Primary practice location
2680 Opitz Blvd Ste 220
Woodbridge, VA 22192-6822
Mailing address
607 Washington Way
Haines City, FL 33844-6434
Phone (305) 721-0340
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 |
|---|---|---|---|
| 0701007658 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodbridge Therapy Group LLC | Professional | Current | Accepting new patients |
Locations
2680 Opitz Blvd
Ste 220
Woodbridge, VA 22192
Phone (703) 497-1771
Organizations & group practices 1
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": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1861965709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 WASHINGTON WAY",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338446434",
"telephone_number": "305-721-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 OPITZ BLVD STE 220",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221926822",
"telephone_number": "703-490-1905",
"fax_number": "703-497-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ",
"first_name": "MARIBEL",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007658",
"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 May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.