Individual provider Active NPI

Scarlete Johnson

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1871287011
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012561 Issued in VA
Practice address
14000 Crown CT Ste 101
Woodbridge, VA 22193-1461
Phone
(703) 659-9903
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103790 VA
Professional Counselor 101YP2500X 0701012561 VA Primary

Addresses

Primary practice location

14000 Crown CT Ste 101
Woodbridge, VA 22193-1461

Mailing address

12298 Dapple Gray CT
Woodbridge, VA 22192-6215
Phone (571) 364-1901

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
I20251107002400 VA Practitioner - Mental Health Counselor 4981194909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youth for Tomorrow New Life Center IncGroup PAC ID 1951673227, 15 clinicians

Practice addresses (Care Compare)

14000 Crown CT
Suite 101
Woodbridge, VA 22193-1461
Phone (703) 659-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710103790VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Youth for Tomorrow New Life Center, Inc. Professional CurrentSince Aug 17, 2025 Accepting new patients

Locations

11835 Hazel Circle Dr
Bristow, VA 20136
Phone (703) 368-7995

14000 Crown Ct
Ste 101
Woodbridge, VA 22193
Phone (703) 659-9900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1871287011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12298 DAPPLE GRAY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926215",
            "telephone_number": "571-364-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 CROWN CT STE 101",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931461",
            "telephone_number": "703-659-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCARLETE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103790",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.