Vincent Davena, M.A., NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704014494 Issued in VA

Practice address

6842 Elm St
MC Lean, VA 22101-3891

Phone

(703) 307-7860

NPI assigned

Jun 30, 2022

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1912639626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 WOODMOOR LN",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015159",
            "telephone_number": "703-307-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-307-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENA",
        "first_name": "VINCENT",
        "credential": "M.A., NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704014494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in McLean, VA
• Providers in McLean, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.