Carolina Celeste Balcazar, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005268 Issued in VA

Practice address

7611 Little River Tpke Ste 200E
Annandale, VA 22003-2640

Phone

(703) 531-6285

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Carolina Celeste Faggioni Former name

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fairfax County, Virginia

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244

  DC

  Medicare reassignment

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1902155161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE STE 200E",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE STE 200E",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032640",
            "telephone_number": "703-531-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCAZAR",
        "first_name": "CAROLINA",
        "middle_name": "CELESTE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005268",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "FAGGIONI",
            "middle_name": "CELESTE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Babish
• Lauren Bachand, OTR
• Cindy W Badger
• Alan R. Baker, M.D.
• Nicholas R Balaji, MD
• Kayla Breanne Balensiefer, LCSW
• Anastasia Balkissoon
• Julia Anne Balunis, DNP,FNP-BC,PMHNP-BC
• Alimatu Mary Bangura
• Bao Dinh DO PC

• Professional Counselor in Annandale, VA
• Providers in Annandale, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.