GRACE COUNSELING & MEDIATION SERVICES LLC
NPI 1144476847
Counselor - Mental Health in Woodbridge, VA

Q: What is Grace Counseling & Mediation Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since August 13, 2008

2875 CHEVOIT HILL CT, WOODBRIDGE, VA 22191(703) 910-7529(703) 910-7555 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2024, Oct 4, 2024, May 16, 2024 (3 updates tracked since 2024).

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About Grace Counseling & Mediation Services Llc NPPES

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

GRACE COUNSELING & MEDIATION SERVICES LLC (NPI 1144476847) is a healthcare organization registered as a mental health in Woodbridge, Virginia and active in the NPI registry since August 2008. The organization lists Lottie Grace Olson-davidson, Owner, as its authorized official.

NPPES Registry Identity

NPI1144476847

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameGRACE COUNSELING & MEDIATION SERVICES LLC

Location Address2875 CHEVOIT HILL CTWoodbridge, VA 22191

Mailing Address4222 Fortuna Center Plz Ste 192Dumfries, VA 22025-1515 · (703) 910-7529

Phone(703) 910-7529

Fax(703) 910-7555

Organization SubpartNo

Authorized OfficialLottie Grace Olson-davidsonOwner · (703) 910-7529

Enumeration DateAugust 13, 2008

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1144476847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VA · 0701005309

2875 CHEVOIT HILL CT, Woodbridge, VA 22191

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Counseling & Mediation Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Counseling & Mediation Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lottie Olson-Davidson, PH.D., LPC, LCMHC

Mental Health Counselor

NPI 1528090016

4222 FORTUNA CENTER PLZ STE 192
Dumfries, VA 22025

(703) 910-7529

✔ PECOS✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grace Counseling & Mediation Services LLC's NPI number?

The NPI number for Grace Counseling & Mediation Services LLC is 1144476847. It was assigned to this organization in the NPPES registry on August 13, 2008.

Where is Grace Counseling & Mediation Services LLC located?

Grace Counseling & Mediation Services LLC is located at 2875 Chevoit Hill Ct, Woodbridge, VA 22191. The listed phone number is (703) 910-7529.

What is Grace Counseling & Mediation Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Grace Counseling & Mediation Services LLC enrolled in Medicare?

Yes. Grace Counseling & Mediation Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Counseling & Mediation Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Grace Counseling & Mediation Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grace Counseling & Mediation Services LLC was last updated on October 9, 2024. 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.