JEFFREY ADAM BLEVINS LPC-R, M.A., CCISM
NPI 1790566917
Counselor - Mental Health in Chantilly, VA

Active since October 12, 2023
4229 LAFAYETTE CENTER DR STE 1675, CHANTILLY, VA 20151(855) 326-4673 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey Adam Blevins Lpc-r, M.a., Ccism NPPES

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

JEFFREY ADAM BLEVINS LPC-R, M.A., CCISM (NPI 1790566917) is an individual mental health provider in Chantilly, Virginia, licensed in Virginia (0704016324) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1790566917
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFREY ADAM BLEVINSCredential: LPC-R, M.A., CCISM
Location Address4229 LAFAYETTE CENTER DR STE 1675Chantilly, VA 20151-1270
Mailing Address631 Leslie StMarion, VA 24354-2211 · (540) 817-9736
Sole ProprietorNo
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
NPI 1790566917 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 · 0704016324
4229 LAFAYETTE CENTER DR STE 1675, Chantilly, VA 20151

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

In Home Supportive Care
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Home Health
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Mental Health)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Mental Health)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Mental Health)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Professional)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Professional)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Social Worker (Clinical)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Social Worker (Clinical)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Professional)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Mental Health)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151
Counselor (Mental Health)
4229 LAFAYETTE CENTER DR STE 1675
CHANTILLY, VA 20151

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790566917, enumerated as an "individual" on October 12, 2023.

The provider is located at 4229 LAFAYETTE CENTER DR STE 1675 CHANTILLY, VA 20151 and the phone number is (855) 326-4673.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.