SAHAIR KABOLI-MONFARED LPC - NPI 1114177003 - Psychologist in Fairfax, VA

Q: What is Sahair Kaboli-monfared's NPI number?

The NPI number for Sahair Kaboli-monfared is 1114177003. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Q: What is Sahair Kaboli-monfared's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Sahair Kaboli-monfared Lpc NPPES

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

SAHAIR KABOLI-MONFARED LPC (NPI 1114177003) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810004621) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1114177003

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSAHAIR KABOLI-MONFAREDCredential: LPC

Location Address10721 MAIN ST STE 203Fairfax, VA 22030-6902

Mailing Address10721 Main St Ste 203Fairfax, VA 22030-6902 · (703) 831-2040 · Fax (571) 307-5494

Phone(703) 831-2040

Fax(571) 307-5494

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 26, 2008

Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1114177003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in VA · 0810004621✔ Licensed in MD · PSY1000829✔ Licensed in DC · 05304

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10721 MAIN ST STE 203, Fairfax, VA 22030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sahair Kaboli-monfared Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022389279

PECOS Enrollment IDI20170807000142, I20250815000833

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$194.86 typical visit price

range $65.18 – $194.86

Typical copayment $48.71 (range $16.29 – $48.71)

Most-billed visit code 99205

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. YORVSKA M. SALAZAR PSY.D., LPC

Counselor (Professional)