4 ROSES PSYCHOLOGICAL SERVICES. PLLC
NPI 1356065486
Clinic/Center - Adult Mental Health in Oakton, VA

Active since October 03, 2022
10300 BUSHMAN DR APT 309, OAKTON, VA 22124(312) 543-5107 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About 4 Roses Psychological Services. Pllc NPPES

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

4 ROSES PSYCHOLOGICAL SERVICES. PLLC (NPI 1356065486) is a healthcare organization registered as an adult mental health in Oakton, Virginia and active in the NPI registry since October 2022. The organization lists Debra Ferguson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1356065486
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business Name4 ROSES PSYCHOLOGICAL SERVICES. PLLC
Location Address10300 BUSHMAN DR APT 309Oakton, VA 22124-2826
Mailing Address2961a Hunter Mill Rd # 642Oakton, VA 22124-1704 · (703) 705-2922 · Fax (703) 705-9336
Organization SubpartNo
Authorized OfficialDebra FergusonPresident & Ceo · (703) 705-7922
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1356065486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
10300 BUSHMAN DR APT 309, Oakton, VA 22124

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

4 Roses Psychological Services. Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 4 Roses Psychological Services. PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1679921043
10300 BUSHMAN DR #300
Oakton, VA 22124
(703) 705-2922
✔ PECOS✔ Accepts MedicareSame address

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 4 Roses Psychological Services. PLLC's NPI number?

The NPI number for 4 Roses Psychological Services. PLLC is 1356065486. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is 4 Roses Psychological Services. PLLC located?

4 Roses Psychological Services. PLLC is located at 10300 Bushman Dr Apt 309, Oakton, VA 22124. The listed phone number is (312) 543-5107.

What is 4 Roses Psychological Services. PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is 4 Roses Psychological Services. PLLC enrolled in Medicare?

Yes. 4 Roses Psychological Services. PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 4 Roses Psychological Services. PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to 4 Roses Psychological Services. PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 4 Roses Psychological Services. PLLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.