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PHYLLIS M FORTUNATO MARTIN LPC
NPI 1215360532
Counselor - Professional in Fairfax, VA

Active since August 11, 2013
10400 EATON PL, SUITE 110, FAIRFAX, VA 22030(703) 509-7412 Get Directions Write a Review

NPPES record last updated: August 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis M Fortunato Martin Lpc NPPES

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

PHYLLIS M FORTUNATO MARTIN LPC (NPI 1215360532) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701003077) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1215360532
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePHYLLIS M FORTUNATO MARTINCredential: LPC
Location Address10400 EATON PL, SUITE 110Fairfax, VA 22030-2208
Mailing Address10400 Eaton Pl, Suite 110Fairfax, VA 22030-2208 · (703) 509-7412
Phone(703) 509-7412
Sole ProprietorYes
Enumeration DateAugust 11, 2013
✔ NPI 1215360532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701003077
10400 EATON PL, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 6

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

MRS. IRENE CAROL ILACHINSKI L.C.S.W.
Social Worker (Clinical)
10400 EATON PL, STE 200
FAIRFAX, VA 22030
Fairfax City (703) 497-1771
A CENTER FOR ADULT, FAMILY AND CAREER COUNSELING
Community/Behavioral Health
10400 EATON PL, SUITE 110
FAIRFAX, VA 22030
Fairfax City (703) 346-3032
CHARICE WILLIAMS PSYD
Psychologist (Clinical)
10400 EATON PL
FAIRFAX, VA 22030
Fairfax City (202) 903-4763
FITNESS AND REHABILITATION, INC.
Clinic/Center (Physical Therapy)
10400 EATON PL, SUITE 312
FAIRFAX, VA 22030
Fairfax City (703) 340-9341
MS. ANITA DIGUGLIELMO NOVAK L.P.C.
Counselor (Mental Health)
10400 EATON PL, #110
FAIRFAX, VA 22030
Fairfax City (703) 437-4920
MRS. LISA D. LYONS LPC
Counselor (Professional)
10400 EATON PL, SUITE 110
FAIRFAX, VA 22030
Fairfax City (703) 395-4662

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 Phyllis Martin's NPI number?

The NPI number for Phyllis Martin is 1215360532. It was assigned to this individual provider in the NPPES registry on August 11, 2013.

Where is Phyllis Martin located?

Phyllis Martin practices at 10400 Eaton Pl Suite 110, Fairfax, VA 22030. The listed phone number is (703) 509-7412.

What is Phyllis Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Phyllis Martin was last updated on August 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.