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OLUSOLA EDWARDS LPC, LSATP
NPI 1144641523
Counselor - Professional in Fairfax, VA

Active since January 02, 2014PECOS Enrolled
4410 SHIRLEY GATE RD, FAIRFAX, VA 22030(703) 205-9452 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2026, Nov 25, 2017 (2 updates tracked since 2017).

About Olusola Edwards Lpc, Lsatp NPPES

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

OLUSOLA EDWARDS LPC, LSATP (NPI 1144641523) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701006130) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1144641523
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOLUSOLA EDWARDSCredential: LPC, LSATP
Location Address4410 SHIRLEY GATE RDFairfax, VA 22030-5518
Mailing Address4410 Shirley Gate RdFairfax, VA 22030-5518
Phone(703) 205-9452
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 2, 2014
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1144641523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701006130
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0718000298 (VA)
4410 SHIRLEY GATE RD, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olusola Edwards Lpc, Lsatp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971868126
PECOS Enrollment IDI20260610004701
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISOL Y ESCRIBA AMAU RN
Registered Nurse
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
JAMIE J PLESKO LPC
Counselor (Professional)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
ALIZERETTE HERNANDEZ-VEGA LCSW
Social Worker (Clinical)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
AUGUSTINE AHENKORAH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 489-4444
ORIT PAYTAN LCSW
Social Worker (Clinical)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
CAMILLA CRYER LPC
Counselor (Professional)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
MEADE JONES HANNA LCSW-C
Counselor (Mental Health)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452
REBECCA KAY HOGG LPC
Counselor (Professional)
4410 SHIRLEY GATE RD
FAIRFAX, VA 22030
Fairfax City (703) 205-9452

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 Olusola Edwards's NPI number?

The NPI number for Olusola Edwards is 1144641523. It was assigned to this individual provider in the NPPES registry on January 2, 2014.

Where is Olusola Edwards located?

Olusola Edwards practices at 4410 Shirley Gate Rd, Fairfax, VA 22030. The listed phone number is (703) 205-9452.

What is Olusola Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Olusola Edwards enrolled in Medicare?

Yes. Olusola Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olusola Edwards was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.