Clara A Marshall, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007769 Issued in VA

Practice address

7611 Little River Tpke Ste 200E
Annandale, VA 22003-2640

Phone

(703) 531-6283

Fax

(703) 538-7442

NPI assigned

Oct 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1922574060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE STE 200",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032611",
            "telephone_number": "703-531-6283",
            "fax_number": "703-538-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TPKE STE 200E",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032640",
            "telephone_number": "703-531-6283",
            "fax_number": "703-538-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7611 Little river Turnpike",
            "address_2": "Suite 200 East",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "22003",
            "country_code": "US",
            "telephone_number": "703-531-6283",
            "fax_number": "703-538-7442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CLARA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007769",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Manzione, MS, CCC-SLP
• Jalil Al-Din Marwan Saleh Maraheel
• John A Marino, DDS
• Mark Egber DDS LTD
• Arlyn Elizabeth Marshall, CAC, CSAC
• Brittany Libbey Martin, OTR/L
• Julie Donnell Martin, MSW, LCSW
• Katharyn Elizabeth Martin, BCABA, COTA/L
• Jessica A Martinez, PA-C
• Thais Martins

• Mental Health Counselor in Annandale, VA
• Providers in Annandale, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.