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Active NPI 1073208070 Individual Practitioner Male Practitioner

Dr. Gueorgui Klissourov , PhD

Case Manager/Care Coordinator • Ashburn, VA

Professional Overview & Biography Verified Profile Summary

Dr. Gueorgui Klissourov, PhD is a registered healthcare professional specializing in Case Manager/Care Coordinator in Ashburn, VA. Practice services are available at 20116 ASHBROOK PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20116 Ashbrook Pl

Ashburn, VA 201475086

Telephone 5406301211

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Ashburn, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Ashburn, VA (499 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-27
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jana Rasamny

Counselor - Mental Health

NPI 1891581203

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2023

Registered at 20116 ASHBROOK PL, ASHBURN, VA 201475086 (Tel: 5406301211)

📍
Updated Business Mailing Address April 06, 2023

Registered at 20116 ASHBROOK PL, ASHBURN, VA 201475086 (Tel: 5406301211)

👤
Provider Name / Credentials Updated April 06, 2023

Recorded as GUEORGUI KLISSOUROV, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2023

Community/Behavioral Health

🟢
Initial NPI Registration & Enumeration April 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073208070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2023
Last Update: July 27, 2023
Sole Proprietor: Yes

Mailing Address

20116 Ashbrook Pl

Ashburn, VA 201475086

Phone: 5406301211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.