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CLARENZ BUSTAMANTE
NPI 1063293462
Counselor - Professional in Oakton, VA

Active since October 11, 2023PECOS Enrolled
10455 WHITE GRANITE DR, OAKTON, VA 22124(703) 536-9000 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarenz Bustamante NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARENZ BUSTAMANTE (NPI 1063293462) is an individual professional provider in Oakton, Virginia and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063293462
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCLARENZ BUSTAMANTE
Location Address10455 WHITE GRANITE DROakton, VA 22124-2764
Mailing Address14807 Elmwood DrWoodbridge, VA 22193-2620 · (571) 296-9799
Phone(703) 536-9000
Sole ProprietorYes
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1063293462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
10455 WHITE GRANITE DR, Oakton, VA 22124
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Other Names 1

Professional Name (2)Clarenz Bustamante

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarenz Bustamante is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SAMANTHA OLIVIA MILGRIM M.A. , R.C.
Counselor (Professional)
10455 WHITE GRANITE DR
OAKTON, VA 22124
Fairfax County (571) 567-1418
BRITTNEY NANCE LMHP-R
Counselor (Mental Health)
10455 WHITE GRANITE DR
OAKTON, VA 22124
Fairfax County (703) 233-4032
NORTHERN VIRGINIA FAMILY SERVICE
Counselor (Mental Health)
10455 WHITE GRANITE DR, SUITE 100
OAKTON, VA 22124
Fairfax County (703) 219-2166
NORTHERN VIRGINIA FAMILY SERVICE
Counselor (Mental Health)
10455 WHITE GRANITE DR, SUITE 100
OAKTON, VA 22124
Fairfax County (703) 219-2128
C. LOUISE INGRAM L.C.S.W.
Social Worker (Clinical)
10455 WHITE GRANITE DR, SUITE 100
OAKTON, VA 22124
Fairfax County (703) 219-2166

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.

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 Professional, with taxonomy code 101YP2500X.

Is Clarenz Bustamante enrolled in Medicare?

Yes. Clarenz Bustamante is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clarenz Bustamante was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.