Individual provider Active NPI

Niah Richardson, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1881288413
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012572 Issued in VA
Practice address
2800 Eisenhower Ave Ste 200
Alexandria, VA 22314-5210
Phone
(508) 663-3852
NPI assigned
Feb 24, 2021
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012572 VA Primary

Addresses

Primary practice location

2800 Eisenhower Ave Ste 200
Alexandria, VA 22314-5210

Mailing address

3060 Williams Dr Ste 300
Fairfax, VA 22031-4648

Other practice location 1

4410 Shirley Gate Rd
Fairfax, VA 22030-5518
Phone (703) 205-9452

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
I20240104003575 DC Practitioner - Mental Health Counselor 1658728381 Reassigns benefits to 2 organizations
I20240118000005 VA Practitioner - Mental Health Counselor 1658728381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

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

2800 Eisenhower Ave
Suite 200
Alexandria, VA 22314-5210
Phone (703) 562-9220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012572VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Jan 1, 2024 Accepting new patients
Columbia Associates in Psychiatry PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

2800 Eisenhower Ave
Ste 200
Alexandria, VA 22314
Phone (703) 562-9220

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

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-3360

4410 Shirley Gate Rd
Fairfax, VA 22030
Phone (703) 205-9452

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

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

Organizations & group practices 2

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1881288413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 WILLIAMS DR STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 EISENHOWER AVE STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145210",
            "telephone_number": "508-663-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4410 Shirley Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220305518",
            "country_code": "US",
            "telephone_number": "703-205-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "NIAH",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.