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OCCOQUAN COUNSELING, LLC
NPI 1780834911
Social Worker - Clinical in Woodbridge, VA

Active since September 24, 2008
12866 HARBOR DR, WOODBRIDGE, VA 22192(703) 494-4164(703) 563-9304 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Occoquan Counseling, Llc NPPES

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

OCCOQUAN COUNSELING, LLC (NPI 1780834911) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since September 2008. The organization lists Kelly Facciola, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1780834911
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOCCOQUAN COUNSELING, LLC
Location Address12866 HARBOR DRWoodbridge, VA 22192-2921
Mailing Address12866 Harbor DrWoodbridge, VA 22192-2921 · (703) 203-7535 · Fax (703) 563-9304
Phone(703) 494-4164
Fax(703) 563-9304
Organization SubpartNo
Authorized OfficialKelly FacciolaMember/manager · (703) 203-7535
Enumeration DateSeptember 24, 2008
Last NPPES UpdateApril 27, 2018
✔ NPI 1780834911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904005064
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12866 HARBOR DR, Woodbridge, VA 22192
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Occoquan Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Occoquan Counseling, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kelly Facciola, LCSW
Clinical Social Worker
NPI 1598873101
12866 HARBOR DR
Woodbridge, VA 22192
(703) 494-4164
✔ PECOS✔ Accepts MedicareSame address
Sonya Bryce, NCC, LSATP, LPC
Mental Health Counselor
NPI 1649216854
7051 HEATHCOTE VILLAGE WAY STE 115
Gainesville, VA 20155
(804) 207-6737
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Occoquan Counseling, LLC's NPI number?

The NPI number for Occoquan Counseling, LLC is 1780834911. It was assigned to this organization in the NPPES registry on September 24, 2008.

Where is Occoquan Counseling, LLC located?

Occoquan Counseling, LLC is located at 12866 Harbor Dr, Woodbridge, VA 22192. The listed phone number is (703) 494-4164.

What is Occoquan Counseling, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Occoquan Counseling, LLC enrolled in Medicare?

Yes. Occoquan Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Occoquan Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Occoquan Counseling, LLC, in Clinical Social Worker and Mental Health Counselor. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Occoquan Counseling, LLC was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.