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NPI 1134610991ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Fairfax, VA
Counselor, Addiction (Substance Use Disorder) in Fairfax, Virginia, registered in NPPES in May 2018. The authorized official on file is Erica E. Noble, Ceo.
Overview
| NPI | 1134610991 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2018 |
| Last updated in NPPES | Apr 7, 2021 |
| Certified by provider | Apr 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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