Active NPI
Isabella Moreno-King
- Mental Health Counselor
- Falls Church, VA
National Provider Identifier
1912628140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704014928
- Practice address
- 6059B Arlington Blvd
Falls Church, VA 22044-2721 - Phone
- (703) 270-3521
- NPI assigned
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 0704014928 | VA | Primary |
Addresses
Primary practice location
6059B Arlington Blvd
Falls Church, VA 22044-2721
Mailing address
301 N Beauregard St Apt 711
Alexandria, VA 22312-2911
Other practice location 1
5480 Wisconsin Ave Ste 216
Chevy Chase, MD 20815-3525
Phone (301) 807-3416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0704014928 | Other | VA | LPC-R |
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 |
|---|---|---|---|
| 0704014928 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710028800000",
"number": "1912628140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N BEAUREGARD ST APT 711",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6059B ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442721",
"telephone_number": "703-270-3521"
}
],
"practiceLocations": [
{
"address_1": "5480 Wisconsin Ave Ste 216",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208153525",
"country_code": "US",
"telephone_number": "301-807-3416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO-KING",
"first_name": "ISABELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-06",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704014928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC-R",
"identifier": "0704014928",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.