MS. JOHNNY S POWELL LCSW
NPI 1790051779
Counselor - Mental Health in Fairfax, VA

Active since March 23, 2012Opted out of Medicare · through Oct 1, 2027
10372 DEMOCRACY LN, FAIRFAX, VA 22030(703) 591-2551(703) 591-2563 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Johnny S Powell Lcsw NPPES

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

MS. JOHNNY S POWELL LCSW (NPI 1790051779) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0904007483) and active in the NPI registry since March 2012. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790051779
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JOHNNY S POWELLCredential: LCSW
Location Address10372 DEMOCRACY LNFairfax, VA 22030-2522
Mailing Address10372 Democracy LnFairfax, VA 22030-2522 · (703) 591-2551 · Fax (703) 591-2563
Fax(703) 591-2563
Sole ProprietorNo
Enumeration DateMarch 23, 2012
Last NPPES UpdateFebruary 17, 2016
NPI 1790051779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0904007483
10372 DEMOCRACY LN, 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

Ms. Johnny S Powell Lcsw 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 October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
10372 DEMOCRACY LN
FAIRFAX, VA 22030
Social Worker (Clinical)
10372 DEMOCRACY LN
FAIRFAX, VA 22030
Counselor
10372 DEMOCRACY LN
FAIRFAX, VA 22030
Social Worker (Clinical)
10372 DEMOCRACY LN, B
FAIRFAX, VA 22030
Counselor (Mental Health)
10372 DEMOCRACY LN
FAIRFAX, VA 22030
Social Worker (Clinical)
10372 DEMOCRACY LN, SUITE B
FAIRFAX, VA 22030
Social Worker (Clinical)
10372 DEMOCRACY LN, SUITE B
FAIRFAX, VA 22030
Community/Behavioral Health
10372 DEMOCRACY LN
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 Johnny Powell's NPI number?

The NPI number for Johnny Powell is 1790051779. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Where is Johnny Powell located?

Johnny Powell practices at 10372 Democracy Ln, Fairfax, VA 22030. The listed phone number is (703) 591-2551.

What is Johnny Powell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Johnny Powell enrolled in Medicare?

No. Johnny Powell has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Johnny Powell was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.