Individual provider Active NPI

Nicholas Edward Searle, MS, LPC

  • Professional Counselor
  • Chantilly, VA
National Provider Identifier
1942790951
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007630 Issued in VA
Practice address
43130 Amberwood PLZ Ste 140
Chantilly, VA 20152
Phone
(703) 348-0030
Fax
(703) 542-7770
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007630 VA Primary

Addresses

Primary practice location

43130 Amberwood PLZ Ste 140
Chantilly, VA 20152

Mailing address

25664 Laughter Dr
Aldie, VA 20105-2580
Phone (703) 989-3615

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701007630VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1942790951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25664 LAUGHTER DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052580",
            "telephone_number": "703-989-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43130 AMBERWOOD PLZ STE 140",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "20152",
            "telephone_number": "703-348-0030",
            "fax_number": "703-542-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARLE",
        "first_name": "NICHOLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.