Active NPI
Tracy Ginter Bushkoff, ED.D., LPC
- Mental Health Counselor
- Arlington, VA
National Provider Identifier
1881752582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701001581
- Practice address
- 3801 Fairfax Dr Ste 62
Arlington, VA 22203-1762 - Phone
- (703) 243-3432
- Fax
- (703) 532-2787
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701001581 | VA | Primary |
Addresses
Primary practice location
3801 Fairfax Dr Ste 62
Arlington, VA 22203-1762
Mailing address
3804 N Tazewell St
Arlington, VA 22207-4556
Phone (703) 243-3432
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 |
|---|---|---|---|
| 0701001581 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881752582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3804 N TAZEWELL ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222074556",
"telephone_number": "703-243-3432",
"fax_number": "703-532-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 FAIRFAX DR STE 62",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031762",
"telephone_number": "703-243-3432",
"fax_number": "703-532-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHKOFF",
"first_name": "TRACY",
"middle_name": "GINTER",
"name_prefix": "Dr.",
"credential": "ED.D., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701001581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.