ERICA CORNELIUS LPC - NPI 1932614070 - Counselor in Fairfax, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

On this page

About Erica Cornelius Lpc NPPES

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

ERICA CORNELIUS LPC (NPI 1932614070) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701007405) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1932614070

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameERICA CORNELIUSCredential: LPC

Location Address10400 EATON PL STE 420Fairfax, VA 22030-2208

Mailing Address8963 Junco CtGainesville, VA 20155-5866 · (973) 534-5227

Phone(973) 534-5227

Sole ProprietorYes

Enumeration DateDecember 12, 2017

Last NPPES UpdateMarch 29, 2022

NPPES CertifiedMarch 29, 2022

✔ NPI 1932614070 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 · 0701007405

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

10400 EATON PL STE 420, Fairfax, VA 22030

Open in Google Maps ↗

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-06-2024
Opt-Out End Date: 05-06-2026
Eligible to Order and Refer? No