BENJAMIN TOMA LPC
NPI 1811019789
Counselor - Professional in Alexandria, VA

Active since April 04, 2007PECOS EnrolledAccepts Medicare Assignment
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314(703) 838-4455(703) 838-5070 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Benjamin Toma Lpc NPPES

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

BENJAMIN TOMA LPC (NPI 1811019789) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701004316) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1811019789
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBENJAMIN TOMACredential: LPC
Location Address720 N SAINT ASAPH STAlexandria, VA 22314-1912
Mailing Address3538 Seagrape CtWaldorf, MD 20602-2649 · (703) 838-4455 · Fax (703) 838-5070
Fax(703) 838-5070
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 4, 2007
Last NPPES UpdateJanuary 28, 2008
✔ NPI 1811019789 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 · 0701004316
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LC1116 (MD)
720 N SAINT ASAPH ST, Alexandria, VA 22314

Other Identifiers 2

Medicare ID-Type Unspecified941L70MD
Medicaid58956180MD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Toma 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 ID9931548815
PECOS Enrollment IDI20240418000007
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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Toma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 282 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Registered Nurse
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Counselor (Professional)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Social Worker (Clinical)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Family Medicine (Adult Medicine)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Social Worker (Clinical)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Counselor (Mental Health)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Social Worker (Clinical)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314
Counselor (Mental Health)
720 N SAINT ASAPH ST
ALEXANDRIA, VA 22314

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 Benjamin Toma's NPI number?

The NPI number for Benjamin Toma is 1811019789. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Benjamin Toma located?

Benjamin Toma practices at 720 N Saint Asaph St, Alexandria, VA 22314. The listed phone number is (703) 838-4455.

What is Benjamin Toma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Benjamin Toma enrolled in Medicare?

Yes. Benjamin Toma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Benjamin Toma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Toma reassigns Medicare benefits to Inova Health Care Services (Falls Church, VA). The 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 Benjamin Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Toma accept?

Health plans from Oscar Health list Benjamin Toma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Toma was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.