Individual provider Active NPI

Elena Stevens, MA, LPC

  • Professional Counselor
  • Manassas, VA
National Provider Identifier
1902589179
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012695 Issued in VA
Practice address
9720 Capital CT
Manassas, VA 20110-2044
Phone
(703) 881-0121
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012695 VA Primary

Addresses

Primary practice location

9720 Capital CT
Manassas, VA 20110-2044

Mailing address

3205 Old Robin St
Fairfax, VA 22030-1926
Phone (970) 275-3719

Other practice location 1

3205 Old Robin St
Fairfax, VA 22030-1926
Phone (970) 275-3719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701012695VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Center, Etc PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1902589179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 OLD ROBIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301926",
            "telephone_number": "970-275-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102044",
            "telephone_number": "703-881-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Old Robin St",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220301926",
            "country_code": "US",
            "telephone_number": "970-275-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ELENA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.