Individual provider Active NPI

Autumn McCain, LMFT-R

  • Marriage & Family Therapist
  • Woodbridge, VA
National Provider Identifier
1982366134
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
12751 Marblestone Dr Ste 200
Woodbridge, VA 22192-8337
Phone
(703) 878-3290
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

12751 Marblestone Dr Ste 200
Woodbridge, VA 22192-8337

Mailing address

8223 Bayberry Ridge Rd
Fairfax Station, VA 22039-3026
Phone (703) 399-5291

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amccain@thecenterforconnection.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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1982366134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 BAYBERRY RIDGE RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393026",
            "telephone_number": "703-399-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 MARBLESTONE DR STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928337",
            "telephone_number": "703-878-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "AUTUMN",
        "name_prefix": "Mrs.",
        "credential": "LMFT-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amccain@thecenterforconnection.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12751 Marblestone Dr Ste 200",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221928337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 5, 2021; 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.