POTOMAC HEALTH SERVICES,LLC
NPI 1376740449
Counselor - Mental Health in Arlington, VA

Active since June 30, 2007
611 S CARLIN SPRINGS RD, SUITE # 501, ARLINGTON, VA 22204(703) 861-8722(571) 366-2056 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Potomac Health Services,llc NPPES

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

POTOMAC HEALTH SERVICES,LLC (NPI 1376740449) is a healthcare organization registered as a mental health in Arlington, Virginia and active in the NPI registry since June 2007. The organization lists Jamuna D Raju, Psychaitrist, as its authorized official.

NPPES Registry Identity

NPI1376740449
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePOTOMAC HEALTH SERVICES,LLC
Location Address611 S CARLIN SPRINGS RD, SUITE # 501Arlington, VA 22204-1064
Mailing Address6508 Dearborn DrFalls Church, VA 22044-1115 · (703) 658-8722
Fax(571) 366-2056
Organization SubpartNo
Authorized OfficialJamuna D RajuPsychaitrist · (703) 861-8722
Enumeration DateJune 30, 2007
Last NPPES UpdateDecember 21, 2011
✔ NPI 1376740449 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 · 0101236470
611 S CARLIN SPRINGS RD, Arlington, VA 22204

Other Identifiers 3

OtherP00359381Medicare Railroad
Medicare PING02127
Medicare UPINI25348VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Potomac Health Services,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20051013000309Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Potomac Health Services,llc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1922290873
611 S CARLIN SPRINGS RD SUITE # 501
Arlington, VA 22204
(703) 861-8722
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1467009357
611 S CARLIN SPRINGS RD
Arlington, VA 22204
(703) 861-8722
✔ 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 Potomac Health Services,llc's NPI number?

The NPI number for Potomac Health Services,llc is 1376740449. It was assigned to this organization in the NPPES registry on June 30, 2007.

Where is Potomac Health Services,llc located?

Potomac Health Services,llc is located at 611 S Carlin Springs Rd Suite # 501, Arlington, VA 22204. The listed phone number is (703) 861-8722.

What is Potomac Health Services,llc's specialty?

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

Is Potomac Health Services,llc enrolled in Medicare?

Yes. Potomac Health Services,llc is registered in the Medicare PECOS enrollment system.

When is Potomac Health Services,llc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Potomac Health Services,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Potomac Health Services,llc, in Clinical Social Worker and Psychiatry. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Potomac Health Services,llc was last updated on December 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.