SAMIRA MILANIZADEH LPC
NPI 1811417843
Counselor - Professional in Manassas, VA

Q: What is Samira Milanizadeh's NPI number?

The NPI number for Samira Milanizadeh is 1811417843. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Samira Milanizadeh's specialty?

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

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment

8100 ASHTON AVE STE 101, MANASSAS, VA 20109(571) 665-6550(571) 665-6551 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2022, Jun 18, 2021, Jun 21, 2017 (3 updates tracked since 2017).

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About Samira Milanizadeh Lpc NPPES

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

SAMIRA MILANIZADEH LPC (NPI 1811417843) is an individual professional provider in Manassas, Virginia, licensed in Virginia (0701007167) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811417843

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSAMIRA MILANIZADEHCredential: LPC

Location Address8100 ASHTON AVE STE 101Manassas, VA 20109-5647

Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698

Phone(571) 665-6550

Fax(571) 665-6551

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 21, 2017

Last NPPES UpdateMay 12, 20223 updates tracked since enumeration

NPPES CertifiedMay 12, 2022

✔ NPI 1811417843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701007167

8100 ASHTON AVE STE 101, Manassas, VA 20109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samira Milanizadeh 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 ID6608217450

PECOS Enrollment IDI20240511000051, I20250313002070

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.

Other Providers at the Same Location NPPES 7

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

ELIZABETH DREW IDRIS DNP, FNP-BC

Nurse Practitioner (Family)