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ELLIE MENTAL HEALTH
NPI 1962103549
Social Worker - Clinical in Woodbridge, VA

Active since March 13, 2023
4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192(202) 390-4243 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 22, 2023, Apr 11, 2023, Mar 13, 2023 (3 updates tracked since 2023).

About Ellie Mental Health NPPES

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

ELLIE MENTAL HEALTH (NPI 1962103549) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since March 2023. The organization lists Jonathan Collegio, Owner, as its authorized official.

NPPES Registry Identity

NPI1962103549
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFAMILY MENTAL HEALTH OF VIRGINIA, LLC
Location Address4001 PRINCE WILLIAM PKWY STE 301Woodbridge, VA 22192-7667
Mailing Address421 E Columbia StFalls Church, VA 22046-3502 · (202) 390-4243
Phone(202) 390-4243
Organization SubpartNo
Authorized OfficialJonathan CollegioOwner · (202) 390-4243
Enumeration DateMarch 13, 2023
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1962103549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4001 PRINCE WILLIAM PKWY STE 301, Woodbridge, VA 22192
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Other Names 1

Doing Business AsEllie Mental Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellie Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ellie Mental Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Keira Cale
Mental Health Counselor
NPI 1972381341
4001 PRINCE WILLIAM PKWY STE 301
Woodbridge, VA 22192
(703) 688-8541
✔ PECOSSame address
Laura Schoenborn, MSW, LCSW
Clinical Social Worker
NPI 1235918053
4001 PRINCE WILLIAM PKWY STE 301
Woodbridge, VA 22192
(703) 688-8541
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Cerrato, MSW, LCSW
Clinical Social Worker
NPI 1154109189
4001 PRINCE WILLIAM PKWY STE 301
Woodbridge, VA 22192
(703) 688-8541
✔ PECOS✔ Accepts MedicareSame address
Patrick Curley, LCSW
Clinical Social Worker
NPI 1649655077
8140 ASHTON AVE STE 200
Manassas, VA 20109
(703) 330-9933
✔ PECOS✔ Accepts Medicare13 mi
Joshua Burke, LCSW
Clinical Social Worker
NPI 1932937364
7960 DONEGAN DR STE 200
Manassas, VA 20109
(703) 565-1885
✔ PECOS✔ Accepts Medicare13 mi

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 Family Mental Health Of Virginia, LLC's NPI number?

The NPI number for Family Mental Health Of Virginia, LLC is 1962103549. It was assigned to this organization in the NPPES registry on March 13, 2023. The provider is doing business as Ellie Mental Health.

Where is Family Mental Health Of Virginia, LLC located?

Family Mental Health Of Virginia, LLC is located at 4001 Prince William Pkwy Ste 301, Woodbridge, VA 22192. The listed phone number is (202) 390-4243.

What is Family Mental Health Of Virginia, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Family Mental Health Of Virginia, LLC enrolled in Medicare?

Yes. Family Mental Health Of Virginia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Mental Health Of Virginia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Mental Health Of Virginia, 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. The largest specialties are Clinical Social Worker (4) and Mental Health Counselor (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Mental Health Of Virginia, LLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.