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FAIRFAX COUNTY, VIRGINIA
NPI 1154356244
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA

Active since July 11, 2006
12011 GOVERNMENT CENTER PARKWAY, SUITE 836, FAIRFAX, VA 22035(703) 324-7000(703) 653-6626 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2026, Mar 3, 2026, Oct 1, 2020 (3 updates tracked since 2020).

About Fairfax County, Virginia NPPES

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

FAIRFAX COUNTY, VIRGINIA (NPI 1154356244), doing business as Fairfax-falls Church Community Services Board, is a healthcare organization registered as a mental health (including community mental health center) in Fairfax, Virginia and active in the NPI registry since July 2006. The organization lists Barbara Wadley-young, Acting Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154356244
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFAIRFAX COUNTY, VIRGINIA
Location Address12011 GOVERNMENT CENTER PARKWAY, SUITE 836Fairfax, VA 22035
Mailing Address12011 Government Center Pkwy Ste 836Fairfax, VA 22035-1100 · (703) 324-7000 · Fax (703) 653-6626
Phone(703) 324-7000
Fax(703) 653-6626
Organization SubpartNo
Authorized OfficialBarbara Wadley-youngActing Executive Director · (703) 324-4431
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1154356244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 113 (VA)
12011 GOVERNMENT CENTER PARKWAY, Fairfax, VA 22035
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Other Names 1

Doing Business AsFairfax-falls Church Community Services Board

Other Identifiers 8

Medicaid004945107VA
Other5700Carefirst Bcbs Nca
Medicaid010200229VA
Other222044VA · Anthem
Medicaid010200181VA
Medicaid010200270VA
OtherMHSSVA · Amerigroup
Medicaid008743126VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax County, Virginia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

382

Medicare enrollment records show 382 clinicians reassign Medicare billing to Fairfax County, Virginia, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 283 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Mental Health Counselor152
Clinical Social Worker144
Psychiatry47
Nurse Practitioner21
Clinical Psychologist10
Marriage and Family Therapist6
Internal Medicine2

Nearest to this location (20)

See all 382
Kelly Harper Larkin
Mental Health Counselor
NPI 1659518470
12011 GOVERNMENT CENTER PKWY
Fairfax, VA 22035
(703) 559-3000
✔ PECOS✔ Accepts MedicareSame address
Erin Lauer, LCSW
Clinical Social Worker
NPI 1467041244
12011 GOVERNMENT CENTER PKWY STE 300
Fairfax, VA 22035
(703) 938-1769
✔ PECOSSame address
Michael Suppa, LCSW
Clinical Social Worker
NPI 1114937943
12011 GOVERNMENT CENTER PKWY
Fairfax, VA 22035
(703) 324-7000
✔ PECOSSame address
Lara Weaver, LCSW
Clinical Social Worker
NPI 1669724456
12011 GOVERNMENT CENTER PARKWAY SUITE 836
Fairfax, VA 22035
(757) 656-9336
✔ PECOS✔ Accepts MedicareSame address
Tyrone White, LCSW
Clinical Social Worker
NPI 1396295903
12000 GOVERNMENT CENTER PKWY
Fairfax, VA 22035
(703) 324-7329
✔ PECOS✔ Accepts Medicare0.3 mi
Suzyn Jacobson, LCSW
Clinical Social Worker
NPI 1437514338
11350 RANDOM HILLS ROAD SUITE 240 FAMILY PRIORITY LLC
Fairfax, VA 22030
(703) 537-0700
✔ PECOS✔ Accepts Medicare1.3 mi
Joseph Burgus, LPC
Mental Health Counselor
NPI 1972248078
4410 SHIRLEY GATE RD
Fairfax, VA 22030
(703) 205-9452
✔ PECOS1.4 mi
Ericka Chandler, LPC
Mental Health Counselor
NPI 1821439563
4410 SHIRLEY GATE RD
Fairfax, VA 22030
(703) 205-9452
✔ PECOS1.4 mi
Camilla Cryer, LPC
Mental Health Counselor
NPI 1548737992
4410 SHIRLEY GATE RD
Fairfax, VA 22030
(703) 205-9452
✔ PECOS1.4 mi
Meade Hanna, LCSW-C
Clinical Social Worker
NPI 1568187193
4410 SHIRLEY GATE RD
Fairfax, VA 22030
(703) 205-9452
✔ PECOS1.4 mi
Alizerette Hernandez-Vega, LCSW
Clinical Social Worker
NPI 1356211197
4410 SHIRLEY GATE RD
Fairfax, VA 22030
(703) 205-9452
✔ PECOS1.4 mi
Oanh Smith, RN, NP
Nurse Practitioner
NPI 1821146663
4410 SHIRLEY GATE RD
Fairfax, VA 22030
(703) 205-9452
✔ PECOS1.4 mi
Lorency Fernando, M.D.
Psychiatry
NPI 1740332519
11204 WAPLES MILL RD
Fairfax, VA 22030
(703) 218-8500
✔ PECOS1.6 mi
Menetta Myers, PSY.D.
Clinical Psychologist
NPI 1518989342
10650 PAGE AVE BETA PROGRAM JDC
Fairfax, VA 22030
(703) 246-2893
✔ PECOS2.7 mi
George Annas, M.D., M.P.H.
Psychiatry
NPI 1922267632
10520 JUDICIAL DR
Fairfax, VA 22030
(703) 246-2100
✔ PECOS2.9 mi
Amberly Dunn, N.P.
Nurse Practitioner
NPI 1518112697
10390 DEMOCRACY LANE
Fairfax, VA 22030
(703) 219-2571
✔ PECOS✔ Accepts Medicare3.3 mi
Martia Myers De Pina, LMFT
Marriage and Family Therapist
NPI 1679954366
14150 PARKEAST CIR
Chantilly, VA 20151
(703) 968-4000
✔ PECOS4.0 mi
Ashley Wise, LMFT
Marriage and Family Therapist
NPI 1063974392
14150 PARKEAST CIR STE 200
Chantilly, VA 20151
(703) 968-4038
✔ PECOS4.0 mi
Lishan Kassa, MD
Internal Medicine
NPI 1255534301
4213 WALNEY RD
Chantilly, VA 20151
(703) 502-7000
✔ PECOS✔ Accepts Medicare4.4 mi
Debra Obeirne, MD
Psychiatry
NPI 1710045414
4213 WALNEY RD
Chantilly, VA 20151
(703) 502-7000
✔ PECOS4.4 mi
See all 382 clinicians

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 Fairfax County, Virginia's NPI number?

The NPI number for Fairfax County, Virginia is 1154356244. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Fairfax-Falls Church Community Services Board.

Where is Fairfax County, Virginia located?

Fairfax County, Virginia is located at 12011 Government Center Parkway Suite 836, Fairfax, VA 22035. The listed phone number is (703) 324-7000.

What is Fairfax County, Virginia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Fairfax County, Virginia enrolled in Medicare?

Yes. Fairfax County, Virginia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairfax County, Virginia?

According to the CMS Revalidation Reassignment List (October 2026 release), 382 clinicians in 7 Medicare specialties reassign their Medicare billing to Fairfax County, Virginia. 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. The largest specialties are Mental Health Counselor (152), Clinical Social Worker (144) and Psychiatry (47). Of these, 4 practice at this address and 283 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairfax County, Virginia was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.