Active NPI
Susan Jackson Humphrey Ritchie, LPC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1902154602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003607
- Practice address
- 15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256 - Phone
- (703) 792-4900
- Fax
- (703) 792-5699
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003607 | VA | Primary |
Addresses
Primary practice location
15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256
Mailing address
15941 Donald Curtis Dr
Suite 200
Woodbridge, VA 22191-4256
Phone (703) 792-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945247 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701003607 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince William County Community Services Board | Past | Accepting new patients | |
| Prince William County | Past | Accepting new patients |
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.
-
- Ambulance
- Prince William, VA
- NPI 1235437385
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manassas, VA
- NPI 1053402800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1902154602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15941 DONALD CURTIS DR",
"address_2": "SUITE 200",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914256",
"telephone_number": "703-792-4900",
"fax_number": "703-792-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15941 DONALD CURTIS DR",
"address_2": "SUITE 200",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914256",
"telephone_number": "703-792-4900",
"fax_number": "703-792-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "SUSAN",
"middle_name": "JACKSON HUMPHREY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945247",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.