Active NPI
Jeannine Reese Cosentino, LPC CSAC
- Addiction (Substance Use Disorder) Counselor
- Woodbridge, VA
National Provider Identifier
1962576785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710000851
- Practice address
- 12890 Harbor Drive
Woodbridge, VA 22192 - Phone
- (703) 490-3210
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000851 | VA | Primary |
| Professional Counselor | 101YP2500X | 0701002395 | VA |
Addresses
Primary practice location
12890 Harbor Drive
Woodbridge, VA 22192
Mailing address
12890 Harbor Drive
Woodbridge, VA 22192
Phone (703) 490-3210
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 |
|---|---|---|---|
| 0710000851 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701002395 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962576785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12890 HARBOR DRIVE",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22192",
"telephone_number": "703-490-3210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12890 HARBOR DRIVE",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22192",
"telephone_number": "703-490-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENTINO",
"first_name": "JEANNINE",
"middle_name": "REESE",
"name_prefix": "Ms.",
"credential": "LPC CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710000851",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.