Active NPI
Christina Rock, LPC, LSATP, CSAC
- Professional Counselor
- Dumfries, VA
National Provider Identifier
1891248357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 009120-1 | NY | |
| Professional Counselor | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0710103071 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0718000412 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701008028 | VA | MD | Professional Counselor |
| 009120-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| House of Eir, PLLC | Current | Accepting new patients | |
| Got Your Six Counseling Services, PLLC | Addiction (Substance Use Disorder) | Current | 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.
-
- Professional Counselor
- Dumfries, VA
- NPI 1366073306
Addiction (Substance Use Disorder)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dumfries, VA
- NPI 1659144723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.