Desiree Debutts Farren, CADC, ICADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SACAUA 1203 Issued in VA

Practice address

425-B Carlisle Drive
Herndon, VA 20170

Phone

(703) 464-5122

Fax

(703) 464-5822

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Aquila Recovery of Virginia LLC

  • Addiction (Substance Use Disorder) Counselor
  • Herndon, VA
  • NPI 1396388930
  NPD (past)
• Desi Farren C.a.C. & Associates

  dba The Recovery Center of Northern Virginia

  • Addiction (Substance Use Disorder) Counselor
  • Herndon, VA
  • NPI 1629348099
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1942614706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425-B CARLISLE DRIVE",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "703-464-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425-B CARLISLE DRIVE",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "20170",
            "telephone_number": "703-464-5122",
            "fax_number": "703-464-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBUTTS FARREN",
        "first_name": "DESIREE",
        "name_prefix": "Mrs.",
        "credential": "CADC, ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "SACAUA 1203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eryn David, RD
• Beth Breece Davis, PHD
• Emily Rose Davis, LMT
• Julie Canniffe Davis, LCAS, CSAC, CADC II
• Louise Eileen Davis, M.AC, DIPL.AC., L.AC
• Decena Home Care, LLC (Decena Home Care)
• Ma. Rose Jeminez Decena
• Pepito Jimenez Decena Jr., LPN
• Bradley Jay Deck
• Heather Anne Deckelbaum, M.S., CCC

• Addiction (Substance Use Disorder) Counselor in Herndon, VA
• Providers in Herndon, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.