GAYLE P NISSEN LCSW
NPI 1982849782
Counselor - Mental Health in Reston, VA

Active since December 08, 2008PECOS Enrolled
1850 CAMERON GLEN DR, RESTON, VA 20190(703) 481-4011(703) 481-1420 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gayle P Nissen Lcsw NPPES

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

GAYLE P NISSEN LCSW (NPI 1982849782) is an individual mental health provider in Reston, Virginia, licensed in Virginia (0904005220) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982849782
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGAYLE P NISSENCredential: LCSW
Location Address1850 CAMERON GLEN DRReston, VA 20190-3363
Mailing Address1850 Cameron Glen DrReston, VA 20190-3363 · (703) 481-4011 · Fax (703) 481-1420
Fax(703) 481-1420
Sole ProprietorNo
Enumeration DateDecember 8, 2008
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
NPI 1982849782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in VA · 0904005220
1850 CAMERON GLEN DR, Reston, VA 20190

Other Identifiers 1

Medicaid99999VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gayle P Nissen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

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.

Psychiatry & Neurology (Psychiatry)
1850 CAMERON GLEN DR, SUITE #600
RESTON, VA 20190
Social Worker (Clinical)
1850 CAMERON GLEN DR, SUITE 500
RESTON, VA 20190
Social Worker (Clinical)
1850 CAMERON GLEN DR, 600
RESTON, VA 20190
Counselor (Professional)
1850 CAMERON GLEN DR, SUITE 600
RESTON, VA 20190
Counselor (Mental Health)
1850 CAMERON GLEN DR
RESTON, VA 20190
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1850 CAMERON GLEN DR, SUITE 600
RESTON, VA 20190
Social Worker (Clinical)
1850 CAMERON GLEN DR, SUITE 600
RESTON, VA 20190
Counselor (Professional)
1850 CAMERON GLEN DR
RESTON, VA 20190

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 Gayle Nissen's NPI number?

The NPI number for Gayle Nissen is 1982849782. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is Gayle Nissen located?

Gayle Nissen practices at 1850 Cameron Glen Dr, Reston, VA 20190. The listed phone number is (703) 481-4011.

What is Gayle Nissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gayle Nissen enrolled in Medicare?

Yes. Gayle Nissen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gayle Nissen was last updated on March 29, 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.