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MS. MARY TIERNAN BROUGH L.P.C.
NPI 1356438071
Counselor - Mental Health in Reston, VA

Active since October 06, 2006PECOS Enrolled
11333 SUNSET HILLS RD, RESTON, VA 20190(703) 742-8540 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Tiernan Brough L.p.c. NPPES

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

MS. MARY TIERNAN BROUGH L.P.C. (NPI 1356438071) is an individual mental health provider in Reston, Virginia, licensed in Virginia (0701001827) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356438071
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY TIERNAN BROUGHCredential: L.P.C.
Location Address11333 SUNSET HILLS RDReston, VA 20190-5205
Mailing Address11333 Sunset Hills RdReston, VA 20190-5205 · (703) 742-8540
Phone(703) 742-8540
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356438071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VA · 0701001827✔ Licensed in MD · LCO182
11333 SUNSET HILLS RD, Reston, VA 20190
Open in Google Maps ↗

Other Identifiers 1

Other088958VA · Blue Cross/blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Tiernan Brough L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

MRS. MELANIE MILLER-CVILIKAS LCSW
Social Worker (Clinical)
11333 SUNSET HILLS RD
RESTON, VA 20190
Fairfax County (703) 478-5383

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 Mary Brough's NPI number?

The NPI number for Mary Brough is 1356438071. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Mary Brough located?

Mary Brough practices at 11333 Sunset Hills Rd, Reston, VA 20190. The listed phone number is (703) 742-8540.

What is Mary Brough's specialty?

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

Is Mary Brough enrolled in Medicare?

Yes. Mary Brough is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Brough was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.