SUSANNAH VOLKERS
NPI 1205480050
Counselor in Fairfax, VA

Active since July 30, 2019Opted out of Medicare · through Apr 18, 2028
10379B DEMOCRACY LN, FAIRFAX, VA 22030(703) 591-2551 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2021, Jul 30, 2019 (2 updates tracked since 2019).

About Susannah Volkers NPPES

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

SUSANNAH VOLKERS (NPI 1205480050) is an individual counselor in Fairfax, Virginia, licensed in Virginia (0704013263) and active in the NPI registry since July 2019. She has opted out of Medicare through April 18, 2028.

NPPES Registry Identity

NPI1205480050
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSUSANNAH VOLKERS
Location Address10379B DEMOCRACY LNFairfax, VA 22030-2505
Mailing Address10379b Democracy LnFairfax, VA 22030-2505
Sole ProprietorNo
Enumeration DateJuly 30, 2019
Last NPPES UpdateApril 10, 20212 updates tracked since enumeration
NPPES CertifiedApril 10, 2021
NPI 1205480050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in VA · 0704013263
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

10379B DEMOCRACY LN, Fairfax, VA 22030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Susannah Volkers has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 18, 2024 through April 18, 2028.

Opt-Out Effective DateApril 18, 2024
Opt-Out In Effect ThroughApril 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Counselor (Professional)
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Counselor
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Student in an Organized Health Care Education/Training Program
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Counselor (Mental Health)
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Counselor
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Student in an Organized Health Care Education/Training Program
10379B DEMOCRACY LN
FAIRFAX, VA 22030
Counselor (Professional)
10379B DEMOCRACY LN
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205480050, enumerated as an "individual" on July 30, 2019.

The provider is located at 10379B DEMOCRACY LN FAIRFAX, VA 22030 and the phone number is (703) 591-2551.

Counselor with taxonomy code 101Y00000X.