Active NPI
Monica Jeanne Cayanong, LPC
- Counseling Psychologist
- Fort Belvoir, VA
National Provider Identifier
1912256405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6401011955
- Practice address
- 9300 Dewitt Loop
Outpatient Addictions, River 2, Desk 2
Fort Belvoir, VA 22060-5285 - Phone
- (571) 231-1306
- Fax
- (571) 231-6628
- NPI assigned
- Aug 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-02461 | MI | |
| Counseling Psychologist | 103TC1900X | 6401011955 | MI | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
Outpatient Addictions, River 2, Desk 2
Fort Belvoir, VA 22060-5285
Mailing address
7911 Grimsley Street
Alexandria, VA 22309
Phone (703) 901-3356
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 |
|---|---|---|---|
| C-02461 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6401011955 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1912256405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7911 GRIMSLEY STREET",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22309",
"telephone_number": "703-901-3356",
"fax_number": "703-781-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"address_2": "OUTPATIENT ADDICTIONS, RIVER 2, DESK 2",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-1306",
"fax_number": "571-231-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAYANONG",
"first_name": "MONICA",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-02461",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6401011955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.