Marilid Mendez, LPC

Individual provider Active NPI Mental Health Counselor · Leesburg, VA

NPI 1902505183 · NPPES record last updated May 1, 2025

Key facts

NPI
1902505183
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
704014226 (VA)
Practice address
163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone
(703) 443-2000
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
704014226VAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 704014226 VA Yes

Addresses

Primary practice location

163 Fort Evans Rd NE
Leesburg, VA 20176-4420

Mailing address

5105 Woodmere Dr Apt 101
Centreville, VA 20120-4317
Phone (703) 232-9269

Other practice location 1

1501 Langston Blvd Ste 130
Arlington, VA 22209-1109
Phone (571) 766-8362

Other providers in Leesburg, VA

All providers in Leesburg, VA · Mental Health Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.