LISA MCCARTHY
NPI 1649955402
Counselor - Professional in Fairfax, VA

Active since June 20, 2023Opted out of Medicare · through Sep 19, 2026
3950 CHAIN BRIDGE RD, FAIRFAX, VA 22030(571) 234-9184 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Jun 20, 2023 (2 updates tracked since 2023).

About Lisa Mccarthy NPPES

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

LISA MCCARTHY (NPI 1649955402) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701012696) and active in the NPI registry since June 2023. She has opted out of Medicare through September 19, 2026.

NPPES Registry Identity

NPI1649955402
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA MCCARTHY
Location Address3950 CHAIN BRIDGE RDFairfax, VA 22030-3935
Mailing Address7201 Adrienne Glen AveSpringfield, VA 22152-3540 · (703) 304-4739
Sole ProprietorYes
Enumeration DateJune 20, 2023
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1649955402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in VA · 0701012696 Licensed in VA · 070403459
3950 CHAIN BRIDGE RD, Fairfax, VA 22030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Lisa Mccarthy has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 19, 2024 through September 19, 2026.

Opt-Out Effective DateSeptember 19, 2024
Opt-Out In Effect ThroughSeptember 19, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Art Therapist
3950 CHAIN BRIDGE RD, SUITE 10
FAIRFAX, VA 22030
Counselor (Mental Health)
3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030
Counselor (Mental Health)
3950 CHAIN BRIDGE RD
FAIRFAX, VA 22030

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 Lisa Mccarthy's NPI number?

The NPI number for Lisa Mccarthy is 1649955402. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Where is Lisa Mccarthy located?

Lisa Mccarthy practices at 3950 Chain Bridge Rd, Fairfax, VA 22030. The listed phone number is (571) 234-9184.

What is Lisa Mccarthy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Mccarthy enrolled in Medicare?

No. Lisa Mccarthy has opted out of Medicare through September 19, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Mccarthy was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.