Individual provider Active NPI

Christina Rock, LPC, LSATP, CSAC

  • Professional Counselor
  • Dumfries, VA
National Provider Identifier
1891248357
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008028 Issued in VA
Practice address
17932 Fraley Blvd Ste 240
Dumfries, VA 22026-2456
Phone
(571) 636-1800
Fax
(571) 636-1900
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 009120-1 NY
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701008028 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103071 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000412 VA

Addresses

Primary practice location

17932 Fraley Blvd Ste 240
Dumfries, VA 22026-2456

Mailing address

17932 Fraley Blvd Ste 240
Dumfries, VA 22026-2456
Phone (571) 636-1800

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
I20260506003185 VA Practitioner - Mental Health Counselor 0648748855 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

Practice addresses (Care Compare)

17932 Fraley Blvd
Suite 240
Dumfries, VA 22026-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710103071VAMDAddiction (Substance Use Disorder) Counselor
0718000412VAMDAddiction (Substance Use Disorder) Counselor
0701008028VAMDProfessional Counselor
009120-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
House of Eir, PLLC CurrentSince Nov 5, 2023 Accepting new patients
Got Your Six Counseling Services, PLLC Addiction (Substance Use Disorder) CurrentSince May 3, 2020 Accepting new patients

Locations

130 Temple Lake Dr
Ste 4
Colonial Heights, VA 23834
Phone (804) 286-1844

17932 Fraley Blvd
Ste 240
Dumfries, VA 22026
Phone (571) 636-1800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1891248357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17932 FRALEY BLVD STE 240",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262456",
            "telephone_number": "571-636-1800",
            "fax_number": "571-636-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17932 FRALEY BLVD STE 240",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262456",
            "telephone_number": "571-636-1800",
            "fax_number": "571-636-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "CHRISTINA",
        "credential": "LPC, LSATP, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "009120-1",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008028",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103071",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumfries, VA

Sources for this page

Verify at the official NPI Registry.