Individual provider Active NPI

Sharee T Haskins, LPC

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1922750140
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012095 Issued in VA
Practice address
10301 Democracy LN Ste 302
Fairfax, VA 22030-2545
Phone
(571) 223-7588
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701012095 VA
Professional Counselor 101YP2500X 0701012095 VA Primary

Addresses

Primary practice location

10301 Democracy LN Ste 302
Fairfax, VA 22030-2545

Mailing address

1104 W Broad St # 1079
Falls Church, VA 22046-2114
Phone (540) 734-9260

Other practice location 1

4211 Walney Rd
Chantilly, VA 20151-2923
Phone (703) 227-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240118000617 DC Practitioner - Mental Health Counselor 5496107161 Reassigns benefits to 2 organizations
I20260408001292 VA Practitioner - Mental Health Counselor 5496107161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Therapy Group LLCGroup PAC ID 0840547824, 7 clinicians

Practice addresses (Care Compare)

2680 Opitz Blvd
Suite 220
Woodbridge, VA 22192-6821
Phone (703) 497-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012095VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Daze Clinical Services Current Accepting new patients
Fairfax County, Virginia CurrentSince Jan 1, 2024 Accepting new patients
Jirah Corporation PastSince Dec 17, 2023 Accepting new patients

Locations

4211 Walney Rd
Chantilly, VA 20151
Phone (703) 227-7100

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

1104 W Broad St
Falls Church, VA 22046
Phone (301) 346-1595

Organizations & group practices 5

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1922750140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W BROAD ST # 1079",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220462114",
            "telephone_number": "540-734-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302545",
            "telephone_number": "571-223-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Walney Rd",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201512923",
            "country_code": "US",
            "telephone_number": "703-227-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "SHAREE",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701012095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.