Individual provider Active NPI

Michael Emerson Deitz, M.ED, NCC, LPC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1912506460
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012600 Issued in VA
Practice address
950 N Washington St Ste 322
Alexandria, VA 22314-1534
Phone
(540) 845-6940
NPI assigned
Oct 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 0701012600 VA Primary

Addresses

Primary practice location

950 N Washington St Ste 322
Alexandria, VA 22314-1534

Mailing address

950 N Washington St Ste 322
Alexandria, VA 22314-1534
Phone (540) 845-6940

Other practice location 1

4528 Plank Rd Ste A1
Fredericksburg, VA 22407-0141
Phone (540) 845-6940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250413000057 VA Practitioner - Mental Health Counselor 9739603614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0701012600VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds Therapy PLLC Family CurrentSince Jan 10, 2025 Accepting new patients

Locations

2121 Eisenhower Ave
Ste 501
Alexandria, VA 22314
Phone (540) 845-6950

4528 Plank Rd
Ste A1
Fredericksburg, VA 22407
Phone (540) 282-8853

2201 Charles St
Ste 105
Fredericksburg, VA 22401
Phone (540) 854-6940

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": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1912506460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST STE 322",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141534",
            "telephone_number": "540-845-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST STE 322",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141534",
            "telephone_number": "540-845-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4528 Plank Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224070141",
            "country_code": "US",
            "telephone_number": "540-845-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "MICHAEL",
        "middle_name": "EMERSON",
        "credential": "M.ED, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-25",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.