Individual provider Active NPI

Skye Lorren Bennett

  • Mental Health Counselor
  • Fairfax, VA
National Provider Identifier
1881455194
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701015228 Issued in VA
Practice address
4155 Chain Bridge Rd
Fairfax, VA 22030-4102
Phone
(703) 672-1474
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704016477 VA
Mental Health Counselor 101YM0800X 0701015228 VA Primary

Addresses

Primary practice location

4155 Chain Bridge Rd
Fairfax, VA 22030-4102

Mailing address

453 Carlisle Dr Ste B
Herndon, VA 20170-5611
Phone (202) 596-8303

Other practice location 1

453 Carlisle Dr Ste B
Herndon, VA 20170-5611
Phone (202) 596-8303

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

LicenseStateTypeSpecialty
0701015228VAMDMental Health Counselor
0704016477VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cielo Counseling and Consulting LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

453 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (202) 596-8303

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1881455194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705611",
            "telephone_number": "202-596-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304102",
            "telephone_number": "703-672-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "453 Carlisle Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201705611",
            "country_code": "US",
            "telephone_number": "202-596-8303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SKYE",
        "middle_name": "LORREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701015228",
            "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 Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.