LOUDOUN COUNTY COMMUNITY SERVICES BOARD
NPI 1386753291
Clinic/Center - Mental Health (Including Community Mental Health Center) in Leesburg, VA

Q: What is County Of Loudoun, Virginia's NPI number?

The NPI number for County Of Loudoun, Virginia is 1386753291. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Loudoun County Community Services Board.

Q: What is County Of Loudoun, Virginia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 30, 2006

102 HERITAGE WAY NE, SUITE 310, LEESBURG, VA 20176(703) 737-8677(703) 737-8676 Get Directions Write a Review

NPPES record last updated: January 26, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Loudoun County Community Services Board NPPES

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

LOUDOUN COUNTY COMMUNITY SERVICES BOARD (NPI 1386753291) is a healthcare organization registered as a mental health (including community mental health center) in Leesburg, Virginia and active in the NPI registry since August 2006. The organization lists Margaret Graham, Agency Director, as its authorized official.

NPPES Registry Identity

NPI1386753291

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCOUNTY OF LOUDOUN, VIRGINIA

Location Address102 HERITAGE WAY NE, SUITE 310Leesburg, VA 20176-4544

Mailing Address906 Trailview Blvd Se, Suite CLeesburg, VA 20175-4415 · (703) 737-8677 · Fax (703) 737-8676

Phone(703) 737-8677

Fax(703) 737-8676

Organization SubpartYes

Authorized OfficialMargaret GrahamAgency Director · (703) 771-5406

Enumeration DateAugust 30, 2006

Last NPPES UpdateJanuary 26, 2017

✔ NPI 1386753291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in VA · 143

Also ListedCase ManagementTaxonomy 251B00000X · License 143 (VA)

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 143 (VA)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 143 (VA)

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License 143 (VA)

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X · License 143 (VA)

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X · License 143 (VA)

Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 143 (VA)

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 143 (VA)

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 143 (VA)

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X · License 143 (VA)

102 HERITAGE WAY NE, Leesburg, VA 20176

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Other Names 1

Doing Business AsLoudoun County Community Services Board

Other Identifiers 9

OtherLCCBVA · Amerigroup - Virginia

Medicaid004945140VA

Medicaid008743673VA

Medicare PINC03212VA

Other187219VA · Anthem Ot

Other187220VA · Anthem Pt

Medicaid004980433VA

Other187217VA · Anthem Slp

Medicare PINC03213VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loudoun County Community Services Board is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 58 clinicians reassign Medicare billing to Loudoun County Community Services Board, which bills Medicare for the services they deliver. Of these, 30 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Clinical Social Worker23

Mental Health Counselor19

Psychiatry7

Clinical Psychologist4

Nurse Practitioner2

Certified Clinical Nurse Specialist (CNS)1

Marriage and Family Therapist1

Preventive Medicine1

Nearest to this location (20)

See all 58

Lisa Doll, PSY.D.

Clinical Psychologist

NPI 1114035250

102 HERITAGE WAY NE SUITE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Mark Hastings, PH.D.

Clinical Psychologist

NPI 1811098668

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Fernando Saavedra

Mental Health Counselor

NPI 1063826105

102 HERITAGE WAY NE STE 302 SUITE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Todd Wills, LPC

Mental Health Counselor

NPI 1609984483

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Angela Frye, LPC

Mental Health Counselor

NPI 1275070435

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Courtney Mercer, LCSW

Clinical Social Worker

NPI 1306248356

102 HERITAGE WAY NE SUITE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Michael Vizzuto, LCSW

Clinical Social Worker

NPI 1598107765

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Carrie Higgins, LPC

Mental Health Counselor

NPI 1578851200

102 HERITAGE WAY NE SUITE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Terry Absalom

Clinical Social Worker

NPI 1720776388

102 HERITAGE WAY NE STE 102
Leesburg, VA 20176

(703) 777-0320

✔ PECOSSame address

Michael Formichella, MS

Mental Health Counselor

NPI 1386201382

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Rana Mccallum, MS, LPC, LMHC

Mental Health Counselor

NPI 1699211367

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 777-0651

✔ PECOSSame address

Frances Quintana, LCSW

Clinical Social Worker

NPI 1659032241

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Laura Titchenell, FNP

Nurse Practitioner

NPI 1255648937

102 HERITAGE WAY NE STE 100
Leesburg, VA 20176

(703) 777-0236

✔ PECOSSame address

Rebecca Washington, MS

Mental Health Counselor

NPI 1972159762

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 777-0170

✔ PECOSSame address

Monica Elliott, LPC

Mental Health Counselor

NPI 1275294134

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

Amanda Gushard-Edwards, LCSW

Clinical Social Worker

NPI 1174027221

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Charity Hankins, MSW, LCSW, CSAC

Clinical Social Worker

NPI 1306720784

102 HERITAGE WAY NE SUITE 302 PO BOX 7400
Leesburg, VA 20177

(703) 771-5100

✔ PECOSSame address

Meghan Jarosik

Clinical Social Worker

NPI 1396198693

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Ivelisse Morales-Rios

Clinical Psychologist

NPI 1710225917

102 HERITAGE WAY NE
Leesburg, VA 20176

(703) 771-5100

✔ PECOSSame address

Visnja Novacki, MD

Psychiatry

NPI 1649381773

102 HERITAGE WAY NE STE 302
Leesburg, VA 20176

(703) 771-5100

✔ PECOS✔ Accepts MedicareSame address

See all 58 clinicians

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 County Of Loudoun, Virginia's NPI number?

The NPI number for County Of Loudoun, Virginia is 1386753291. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Loudoun County Community Services Board.

Where is County Of Loudoun, Virginia located?

County Of Loudoun, Virginia is located at 102 Heritage Way NE Suite 310, Leesburg, VA 20176. The listed phone number is (703) 737-8677.

What is County Of Loudoun, Virginia's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is County Of Loudoun, Virginia enrolled in Medicare?

Yes. County Of Loudoun, Virginia is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Loudoun, Virginia?

According to the CMS Revalidation Reassignment List (October 2026 release), 58 clinicians in 8 Medicare specialties reassign their Medicare billing to County Of Loudoun, Virginia. 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. The largest specialties are Clinical Social Worker (23), Mental Health Counselor (19) and Psychiatry (7). Of these, 30 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Loudoun, Virginia was last updated on January 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.