Southlight Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHLIGHT COUNSELING PLLC

Practice address

2 Cardinal Park Dr SE Ste 105a
Leesburg, VA 20175-4448

Phone

(571) 233-2302

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Ellen Labgold, LCSWNPI 1104391622

Title

Provider

Phone

(571) 233-2302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Kathleen Labgold, LCSW

  • Clinical Social Worker
  • Leesburg, VA
  • NPI 1104391622
  NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1992436653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE STE 105A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "571-233-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE STE 105A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "571-233-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLIGHT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "LABGOLD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "571-233-2302",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandana Sood, D.M.D.
• Meredith Cespedes Soriano
• Sos Psychiatry, LLC
• Katheryn Ann Soto, PA-C
• Clifford C Souder, PHYSICIAN ASSISTANT
• Olusola Sowunmi, RDH
• Donna Michele Huff Speakes, PA
• Speech for Each, LLC
• Joy Hathaway Spencer - Fuller, D.D.S.
• Bryan A. Spillare, MPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.