CLARENZ BUSTAMANTE
NPI 1063293462
Counselor - Mental Health in Oakton, VA
About Clarenz Bustamante NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARENZ BUSTAMANTE (NPI 1063293462) is an individual mental health provider in Oakton, Virginia, licensed in Virginia (0701015990) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clarenz Bustamante is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Clarenz Bustamante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oakton, VA 22124
- Reassigned Medicare billing, District of Columbia enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKTON, VA 22124
OAKTON, VA 22124
OAKTON, VA 22124
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clarenz Bustamante's NPI number?
The NPI number for Clarenz Bustamante is 1063293462. It was assigned to this individual provider in the NPPES registry on October 11, 2023. The provider is also known as Clarenz Bustamante Lpc.
Where is Clarenz Bustamante located?
Clarenz Bustamante practices at 10455 White Granite Dr, Oakton, VA 22124. The listed phone number is (703) 536-9000.
What is Clarenz Bustamante's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Clarenz Bustamante enrolled in Medicare?
Yes. Clarenz Bustamante is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Clarenz Bustamante's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarenz Bustamante reassigns Medicare benefits to Hopelink Behavioral Health (Oakton, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarenz Bustamante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clarenz Bustamante was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clarenz Bustamante · NPI 1063293462
Mental Health provider in Oakton, Virginia. Individual provider, active in the CMS NPPES registry since October 11, 2023.
## Identity
- **NPI:** 1063293462 (Entity type: Individual)
- **Enumerated:** October 11, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0701015990 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10455 WHITE GRANITE DR, Oakton, VA 22124-2764
- **Phone:** (703) 536-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Hopelink Behavioral Health (NPI 1275639684, Oakton, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063293462) · Data from the CMS NPPES public registry.