Dorothy Christine Ford, L.P.C.
Individual provider Active NPI Professional Counselor · Bristow, VA
NPI 1922326339 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1922326339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701005866 (VA)
- Practice address
- 8869 Benchmark LN
Bristow, VA 20136-5742 - Phone
- (410) 322-4596
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2024 through Feb 16, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3273 | MD | MD | Mental Health Counselor |
| 0701005866 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC3273 | MD | |
| Professional Counselor | 101YP2500X | 0701005866 | VA | Yes |
Addresses
Primary practice location
8869 Benchmark LN
Bristow, VA 20136-5742
Mailing address
8869 Benchmark LN
Bristow, VA 20136-5742
Phone (410) 322-4596
Other names
- Miss Dorothy Christine Brumfield
Other providers in Bristow, VA
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- Mohammad Shafiq Faqeerzai
- Anna Coolidge Farrell
- Pamela Fonju
- Lisa A Gardner
- Victoria Rae Garrison
- Johanna Lynn Gaskins
- GB Anesthesia Services
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All providers in Bristow, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.