MS. JISEL JULIANA PERILLA LPC
NPI 1770293409
Counselor - Professional in Fairfax, VA

NPI Status: Active since December 05, 2022

Contact Information

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031
Phone: (571) 585-6537

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  • Individual
  • Female
  • Years of Experience 7
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JISEL PERILLA

This page provides the complete NPI Profile along with additional information for Jisel Perilla, a provider established in Fairfax, Virginia with a medical specialization in Counselor, focusing in professional and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1770293409 assigned on December 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 0701011994 (VA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1770293409
Provider Name
MS. JISEL JULIANA PERILLA LPC
Gender
Female
Entity Type
Individual
Location Address
8221 WILLOW OAKS CORPORATE DR FAIRFAX, VA 22031
Location Phone
(571) 585-6537
Mailing Address
1204 MAPLE AVE RICHMOND, VA 23226
Mailing Phone
(703) 459-8708
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
12-05-2022
Last Update Date
12-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
0701011994
License State
VA

Medicare Participation & PECOS Enrollment Status

Jisel Perilla is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jisel Perilla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113378456

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240110004719

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. JISEL JULIANA PERILLA LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770293409
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714049640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 6 + 4 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1770293409 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. MARIA TSAO M.D.

Psychiatry & Neurology

(Psychiatry)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 207-7819

KATHRYN WALSEMAN

Psychiatry & Neurology

(Psychiatry)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 207-6980

MRS. LESLIE DORAN LCSW

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 559-3000

THAO PHUONG HUYNH RPH

Pharmacist

(Psychiatric)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 852-0041

JASON J ZODDA

Psychologist

(Clinical)

8221 WILLOW OAKS CORPORATE DR
EMERGENCY SERVICES
FAIRFAX, VA
ZIP 22031

(703) 573-5679

JACQUELINE BLAKE LCSW

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
2-217E.01
FAIRFAX, VA
ZIP 22031

(703) 207-6976

MAJED ABUNEMER LCSW

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 573-5679

ANGELA SUSAN AMAS PMHNP-BC

Nurse Practitioner

(Psychiatric/Mental Health)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 207-7813

CAROL MILLER RPH

Pharmacist

8221 WILLOW OAKS CORPORATE DR
GENOA, A QOL HEALTHCARE COMPANY
FAIRFAX, VA
ZIP 22031

(703) 852-0041

SARAH W GEBO LCSW

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
SUITE 420
FAIRFAX, VA
ZIP 22031

(571) 623-3529

HASSEN M. SEID NP

Nurse Practitioner

(Family)

8221 WILLOW OAKS CORPORATE DR
450
FAIRFAX, VA
ZIP 22031

(703) 289-7560

PHILIP SMITH M.D.

Psychiatry & Neurology

(Child & Adolescent Psychiatry)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 207-7818

MR. BRIAN D ANDERSON

Counselor

(Professional)

8221 WILLOW OAKS CORPORATE DR
SUITE 4-420
FAIRFAX, VA
ZIP 22031

(703) 289-7560

NEIGHBORHOOD HEALTH

Clinic/Center

(Federally Qualified Health Center (FQHC))

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 535-5568

KRISTEN GUIOD

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
SUITE 420
FAIRFAX, VA
ZIP 22031

(703) 289-7560

MRS. ELIZABETH ANN LISKO LPC

Counselor

(Professional)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 383-8523

KIMBERLY VAN LANEN

Counselor

(Mental Health)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 383-8427

JEAN COWAN LCSW

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 573-5679

HEATHER MASLONEK LCSW

Social Worker

(Clinical)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 559-3000

DR. EVELYN ASHKAN PHARMD

Pharmacist

(Psychiatric)

8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA
ZIP 22031

(703) 852-0041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770293409, enumerated as an "individual" on December 05, 2022.

The provider is located at 8221 WILLOW OAKS CORPORATE DR FAIRFAX, VA 22031 and the phone number is (571) 585-6537.

Counselor with taxonomy code 101YP2500X and a focus in Professional.