Lorin E Adegbenro, LPC
Individual provider Active NPI Professional Counselor · Sterling, VA
NPI 1972196590 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1972196590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0704010376 (VA)
- Practice address
- 46179 Westlake Dr
Sterling, VA 20165-5874 - Phone
- (571) 443-7179
- NPI assigned
- Feb 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129002765 | VA | Practitioner - Mental Health Counselor | 8022466168 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704010376 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Professional | Current |
Accepting new patients |
Locations
9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112
46179 Westlake Dr
Ste 340
Sterling, VA 20165
Phone (703) 621-7121
Interoperability endpoints
- granatogroup.lorinadegbenro@144557.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704010376 | VA | Yes |
Addresses
Primary practice location
46179 Westlake Dr
Sterling, VA 20165-5874
Mailing address
46273 Porter Ter
Sterling, VA 20165-8752
Phone (571) 443-7179
Other providers in Sterling, VA
- Christy Acosta
- Adams Smile Center
- Adams Smile Center PLLC
- Deborah Adams
- Elizabeth Skyler Adams
- Berhanu Admassu
- Advance Home Health Care, LLC
- Advanced Chiropractic & Sports Rehabilitation
- Advantage Home Health Care Inc
- Kopal Agarwal
All providers in Sterling, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.