NICOLE HARGRAVES LPC
NPI 1740067586
Counselor - Professional in Alexandria, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since September 14, 2023PECOS EnrolledAccepts Medicare Assignment

4850 MARK CENTER DR, ALEXANDRIA, VA 22311(703) 746-3400 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2025, Mar 4, 2025 (2 updates tracked since 2025).

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About Nicole Hargraves Lpc NPPES

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

NICOLE HARGRAVES LPC (NPI 1740067586) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701012840) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740067586

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNICOLE HARGRAVESCredential: LPC

Location Address4850 MARK CENTER DRAlexandria, VA 22311-1882

Mailing Address4850 Mark Center DrAlexandria, VA 22311-1882 · (703) 746-3400

Phone(703) 746-3400

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 14, 2023

Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1740067586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701012840

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0709025079 (VA)

4850 MARK CENTER DR, Alexandria, VA 22311

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Secondary Practice Location 1

Location 16375 Richmond HwyAlexandria, VA 22306-6456 · Phone (757) 656-1102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Hargraves Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355780222

PECOS Enrollment IDI20240412000097

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.