MARY MOUSSA LPC CSAC NPI 1205456126

NPI Information

  • NPI: 1205456126
  • Provider Name: MARY MOUSSA, LPC, CSAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 10560 MAIN ST STE 415
    FAIRFAX, VA
    ZIP 22030
  • Phone: (571) 318-6710

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NPI Details

Mary Moussa, LPC, CSAC is a mental health counselor in Fairfax, VA. Mary Moussa, LPC, CSAC NPI is 1205456126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10560 MAIN ST STE 415
FAIRFAX, VA
ZIP 22030-174
Phone: (571) 318-6710

The enumeration date for this NPI number is 4/21/2020 and was last updated on 9/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)0710103429VIRGINIANo
2101YM0800XCounselorMental Health0701009845VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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