Individual provider Active NPI

Whitney Taylor

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1962003376
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704013501 Issued in VA
Practice address
2850 Eisenhower Ave Ste 105
Alexandria, VA 22314-4567
Phone
(844) 947-3326
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704013501 VA Primary

Addresses

Primary practice location

2850 Eisenhower Ave Ste 105
Alexandria, VA 22314-4567

Mailing address

625 E Monroe Ave Apt 210
Alexandria, VA 22301-3023
Phone (603) 513-8017

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
0704013501VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Solutions, LLC CurrentSince Nov 8, 2020 Accepting new patients

Locations

2850 Eisenhower Ave
Ste 105
Alexandria, VA 22314
Phone (571) 319-3577

Organizations & group practices 1

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1962003376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MONROE AVE APT 210",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223013023",
            "telephone_number": "603-513-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 EISENHOWER AVE STE 105",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144567",
            "telephone_number": "844-947-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "WHITNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Databse",
            "address_1": "2850 Eisenhower Ave Ste 105",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223144567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.