Individual provider Active NPI

Nancy Jean Podbesek, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1871289439
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013247 Issued in VA
Practice address
307 Yoakum Pkwy Apt 718
Alexandria, VA 22304-4019
Phone
(804) 497-6420
NPI assigned
Apr 17, 2023
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGPC200001369 DC
Professional Counselor 101YP2500X 0701013247 VA Primary

Addresses

Primary practice location

307 Yoakum Pkwy Apt 718
Alexandria, VA 22304-4019

Mailing address

307 Yoakum Pkwy Apt 718
Alexandria, VA 22304-4019
Phone (804) 497-6420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240531000017 DC Practitioner - Mental Health Counselor 9335581636 Reassigns benefits to 1 organization
I20240606000084 VA Practitioner - Mental Health Counselor 9335581636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

12007 Sunrise Valley Dr
Suite 120
Reston, VA 20191-3460
Phone (703) 522-2089

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGPC200001369DCMDProfessional Counselor
0701013247VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC CurrentSince May 20, 2024 Accepting new patients

Locations

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

12007 Sunrise Valley Dr
Ste 120
Reston, VA 20191
Phone (703) 478-0440

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

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": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1871289439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 YOAKUM PKWY APT 718",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044019",
            "telephone_number": "804-497-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 YOAKUM PKWY APT 718",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044019",
            "telephone_number": "804-497-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODBESEK",
        "first_name": "NANCY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC200001369",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.