Active NPI
Isabella O'Shea Goins, LPC-R
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1942010848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704017576
- Practice address
- 3919 Blenheim Blvd
Fairfax, VA 22030-2430 - Phone
- (703) 539-2392
- NPI assigned
- Jan 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704017576 | VA | Primary |
Addresses
Primary practice location
3919 Blenheim Blvd
Fairfax, VA 22030-2430
Mailing address
1930 Visionary Way Apt 401
Reston, VA 20190-5524
Phone (703) 945-4248
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 |
|---|---|---|---|
| 0704017576 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1942010848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 VISIONARY WAY APT 401",
"city": "RESTON",
"state": "VA",
"postal_code": "201905524",
"telephone_number": "703-945-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 BLENHEIM BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302430",
"telephone_number": "703-539-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOINS",
"first_name": "ISABELLA",
"middle_name": "O'SHEA",
"credential": "LPC-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704017576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.