Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADISEN BROOKE MOODY LPC
NPI 1194448555
Counselor - Mental Health in Fairfax, VA

Q: What is Madisen Moody's NPI number?

The NPI number for Madisen Moody is 1194448555. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Q: What is Madisen Moody's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madisen Moody was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since September 21, 2022

3060 WILLIAMS DR STE 105, FAIRFAX, VA 22031(571) 587-3941(301) 970-4002 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 21, 2022 (2 updates tracked since 2022).

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About Madisen Brooke Moody Lpc NPPES

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

MADISEN BROOKE MOODY LPC (NPI 1194448555) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0704015161) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1194448555

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMADISEN BROOKE MOODYCredential: LPC

Location Address3060 WILLIAMS DR STE 105Fairfax, VA 22031-4669

Mailing Address3060 Williams Dr Ste 105Fairfax, VA 22031-4669 · (571) 587-3941 · Fax (301) 970-4002

Phone(571) 587-3941

Fax(301) 970-4002

Sole ProprietorYes

Enumeration DateSeptember 21, 2022

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1194448555 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 · 0704015161

3060 WILLIAMS DR STE 105, Fairfax, VA 22031

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Other Providers at the Same Location NPPES 3

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

CHRISTINE ROLLINS

Social Worker

3060 WILLIAMS DR STE 105
FAIRFAX, VA 22031

Fairfax County (301) 970-4001

RACHEL OLIVIA COHEN

Counselor (Mental Health)

3060 WILLIAMS DR STE 105
FAIRFAX, VA 22031

Fairfax County (301) 970-4001

MADISON T VOSS

Counselor (Mental Health)

3060 WILLIAMS DR STE 105
FAIRFAX, VA 22031

Fairfax County (301) 970-4001

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 Madisen Moody's NPI number?

The NPI number for Madisen Moody is 1194448555. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Madisen Moody located?

Madisen Moody practices at 3060 Williams Dr Ste 105, Fairfax, VA 22031. The listed phone number is (571) 587-3941.

What is Madisen Moody's specialty?

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

When was this NPI record last updated?

The NPPES record for Madisen Moody was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.