SAMUEL WASSERMAN LPC
NPI 1700642089
Counselor - Professional in Alexandria, VA
About Samuel Wasserman Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL WASSERMAN LPC (NPI 1700642089) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701013336) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Wasserman Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Wasserman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22035
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Director Of Finance-County Of Fairfax Va
- 383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
KINGSTOWNE, VA 22315
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 Samuel Wasserman's NPI number?
The NPI number for Samuel Wasserman is 1700642089. It was assigned to this individual provider in the NPPES registry on February 26, 2024.
Where is Samuel Wasserman located?
Samuel Wasserman practices at 6901 S Van Dorn St, Alexandria, VA 22315. The listed phone number is (703) 313-6300.
What is Samuel Wasserman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samuel Wasserman enrolled in Medicare?
Yes. Samuel Wasserman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Wasserman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Wasserman reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, VA). The 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 Samuel Wasserman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Wasserman accept?
Health plans from Oscar Health list Samuel Wasserman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samuel Wasserman was last updated on February 26, 2024. 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.
# Samuel Wasserman, LPC · NPI 1700642089
Professional provider in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1700642089 (Entity type: Individual)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701013336 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6901 S VAN DORN ST, Alexandria, VA 22315-3961
- **Phone:** (703) 313-6300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fairfax County, Virginia (NPI 1154356244, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700642089) · Data from the CMS NPPES public registry.