Active NPI
Raquel Luster
- Mental Health Counselor
- Dumfries, VA
National Provider Identifier
1902521941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704013434
- Practice address
- 17932 Fraley Blvd Ste 240
Dumfries, VA 22026-2456 - Phone
- (571) 636-1800
- NPI assigned
- Oct 11, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704013434 | VA | Primary |
Addresses
Primary practice location
17932 Fraley Blvd Ste 240
Dumfries, VA 22026-2456
Mailing address
68 Watkins Park Dr Unit 4645
Upper Marlboro, MD 20774-9996
Phone (571) 303-9044
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 |
|---|---|---|---|
| 0704013434 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Got Your Six Counseling Services, PLLC | Current | Accepting new patients | |
| Eager Mind Services | Current | Accepting new patients |
Locations
107 S West St
Alexandria, VA 22314
Phone (571) 305-0400
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.
-
- Community/Behavioral Health Agency
- Alexandria, VA
- NPI 1891472080
-
- Professional Counselor
- Dumfries, VA
- NPI 1366073306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1902521941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 WATKINS PARK DR UNIT 4645",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207749996",
"telephone_number": "571-303-9044"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSTER",
"first_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704013434",
"primary": true
}
],
"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 Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.