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MS. NICHELLE ARNETTE STATEN LPC
NPI 1972153831
Counselor - Professional in Fairfax, VA

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(703) 573-5679(703) 653-7132 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Nichelle Arnette Staten Lpc NPPES

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

MS. NICHELLE ARNETTE STATEN LPC (NPI 1972153831) is an individual professional provider in Fairfax, Virginia, licensed in Virginia (0701008569) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1972153831
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. NICHELLE ARNETTE STATENCredential: LPC
Location Address8221 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4512
Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512 · (703) 573-5679 · Fax (703) 653-7132
Phone(703) 573-5679
Fax(703) 653-7132
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 12, 2019
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1972153831 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 · 0701008569
8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031
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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

Ms. Nichelle Arnette Staten 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 ID6103276803
PECOS Enrollment IDI20231220004313
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 20

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

CONNIE LEE MD
Psychiatry & Neurology (Psychiatry)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
NEIGHBORHOOD HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 535-5568
FELICIA ABOAGYE LNP
Nurse Practitioner (Psychiatric/Mental Health)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
TRISHA MARIE HINDY BURKS LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 852-0041
ANNA LEE KOOZMIN MSW, LCSW, LICSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 324-7100
JULIA LYNN CONVERSE LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
DESIREE ROBERTS LPC
Counselor (Professional)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000

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 Nichelle Staten's NPI number?

The NPI number for Nichelle Staten is 1972153831. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Nichelle Staten located?

Nichelle Staten practices at 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (703) 573-5679.

What is Nichelle Staten's specialty?

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

Is Nichelle Staten enrolled in Medicare?

Yes. Nichelle Staten 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.

When was this NPI record last updated?

The NPPES record for Nichelle Staten was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.