NORTHERN VIRGINIA PSYCHOLOGY PROFESSIONALS, LLC
NPI 1811556434
Clinic/Center - Mental Health (Including Community Mental Health Center) in Reston, VA

Active since June 07, 2019
1768 BUSINESS CENTER DR STE 360, RESTON, VA 20190(703) 662-3637(703) 437-6872 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 13, 2021, Jun 7, 2019 (2 updates tracked since 2019).

About Northern Virginia Psychology Professionals, Llc NPPES

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

NORTHERN VIRGINIA PSYCHOLOGY PROFESSIONALS, LLC (NPI 1811556434) is a healthcare organization registered as a mental health (including community mental health center) in Reston, Virginia and active in the NPI registry since June 2019. The organization lists Lauren Wall, Clinical Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1811556434
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHERN VIRGINIA PSYCHOLOGY PROFESSIONALS, LLC
Location Address1768 BUSINESS CENTER DR STE 360Reston, VA 20190-5358
Mailing Address1768 Business Center Dr Ste 360Reston, VA 20190-5358 · (703) 662-3637 · Fax (571) 926-8404
Fax(703) 437-6872
Organization SubpartNo
Authorized OfficialLauren WallClinical Psychologist/owner · (703) 662-3637
Enumeration DateJune 7, 2019
Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1811556434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1768 BUSINESS CENTER DR STE 360, Reston, VA 20190

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Virginia Psychology Professionals, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northern Virginia Psychology Professionals, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1578970224
1768 BUSINESS CENTER DR STE 360
Reston, VA 20190
(703) 662-3637
✔ PECOS✔ Accepts MedicareSame address

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 Northern Virginia Psychology Professionals, LLC's NPI number?

The NPI number for Northern Virginia Psychology Professionals, LLC is 1811556434. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is Northern Virginia Psychology Professionals, LLC located?

Northern Virginia Psychology Professionals, LLC is located at 1768 Business Center Dr Ste 360, Reston, VA 20190. The listed phone number is (703) 662-3637.

What is Northern Virginia Psychology Professionals, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Northern Virginia Psychology Professionals, LLC enrolled in Medicare?

Yes. Northern Virginia Psychology Professionals, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Virginia Psychology Professionals, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Northern Virginia Psychology Professionals, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Virginia Psychology Professionals, LLC was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.