MARY JUNE C SO
NPI 1609258946
Nurse Practitioner - Psychiatric/Mental Health in Falls Church, VA

Q: What is Mary June So's NPI number?

The NPI number for Mary June So is 1609258946. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Q: What is Mary June So's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mary June So was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 23, 2015PECOS Enrolled

3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-3650 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2023, Jun 22, 2021, Jul 18, 2019 (3 updates tracked since 2019).

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About Mary June C So NPPES

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

MARY JUNE C SO (NPI 1609258946) is an individual psychiatric/mental health provider in Falls Church, Virginia, licensed in Virginia (0024172718) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609258946

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY JUNE C SO

Location Address3300 GALLOWS RDFalls Church, VA 22042-3307

Mailing Address1307 Vincent PlMc Lean, VA 22101-3680

Phone(703) 776-3650

Sole ProprietorNo

Enumeration DateJune 23, 2015

Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1609258946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in VA · 0024172718✔ Licensed in MD · AC002763

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001220246 (VA), 1017196 (DC)

3300 GALLOWS RD, Falls Church, VA 22042

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Secondary Practice Locations 2

Location 19707 Key West Ave Ste 100Rockville, MD 20850-3992 · Phone (240) 750-6467

Location 21307 Vincent PlMc Lean, VA 22101-3680 · Phone (703) 821-1073

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary June C So 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ALLISON ELIZABETH TWEEDIE MD

Psychiatry & Neurology (Psychiatry)