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NPI 1356668156ActiveOrganization· Preferred Provider Organization· Lorton, VA
Preferred Provider Organization in Lorton, Virginia, registered in NPPES in May 2010. The authorized official on file is Nicole Sutherland, Ceo/Founder.
Overview
| NPI | 1356668156 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2010 |
| Last updated in NPPES | Oct 7, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 1042266 | VA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 1042266 | VA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 1042266 | VA |
| Psychologist, Family | 103TF0000X | 1042266 | VA |
| Case Management | 251B00000X | 1042266 | VA |
| Community/Behavioral Health | 251S00000X | 1042266 | VA |
| Exclusive Provider Organization | 302F00000X | 1042266 | VA |
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 |
|---|