J L FRISTAD PLLC
NPI 1487148490
Social Worker - Clinical in Leesburg, VA

Active since June 22, 2018
2 CARDINAL PARK DR SE STE 104A, LEESBURG, VA 20175(703) 980-9715 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2022, Apr 23, 2019, Jul 13, 2018 and 1 more (4 updates tracked since 2018).

About J L Fristad Pllc NPPES

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

J L FRISTAD PLLC (NPI 1487148490) is a healthcare organization registered as a clinical in Leesburg, Virginia and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Leesburg and lists Janice L Fristad, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1487148490
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJ L FRISTAD PLLC
Location Address2 CARDINAL PARK DR SE STE 104ALeesburg, VA 20175-4448
Mailing Address1206 Musket Ct NeLeesburg, VA 20176-4805 · (703) 474-6202
Organization SubpartNo
Authorized OfficialJanice L FristadExecutive Officer · (703) 474-6202
Enumeration DateJune 22, 2018
Last NPPES UpdateSeptember 14, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1487148490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2 CARDINAL PARK DR SE STE 104A, Leesburg, VA 20175

Secondary Practice Location 1

Location 11206 Musket Ct NELeesburg, VA 20176-4805 · Phone (703) 474-6202

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J L Fristad 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 J L Fristad PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1679817548
2 CARDINAL PARK DR SE STE 104A
Leesburg, VA 20175
(703) 980-9715
✔ 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 J L Fristad PLLC's NPI number?

The NPI number for J L Fristad PLLC is 1487148490. It was assigned to this organization in the NPPES registry on June 22, 2018.

Where is J L Fristad PLLC located?

J L Fristad PLLC is located at 2 Cardinal Park Dr SE Ste 104A, Leesburg, VA 20175. The listed phone number is (703) 980-9715.

What is J L Fristad PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is J L Fristad PLLC enrolled in Medicare?

Yes. J L Fristad PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J L Fristad PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to J L Fristad 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 J L Fristad PLLC was last updated on September 14, 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.