Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134836810 Individual Practitioner Male Practitioner

Jonathan Oliver Wade , LPC

Counselor - Professional • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Jonathan Wade, LPC is a registered healthcare professional specializing in Counselor - Professional in Fairfax, VA. Practice services are available at 8221 WILLOW OAKS CORPORATE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8221 Willow Oaks Corporate Dr

Fairfax, VA 220314512

Telephone 5715368197
Associated Practice Facility / Clinic
🏢 Genoa Healthcare Llc Facility NPI 1013201094

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
284 Specialists

Practicing in Fairfax, VA (6609 Statewide)

Telehealth Adoption Rate
4.9% 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: 2022-10-31
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701011873

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Connie Lee , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082512

Doctor of Medicine (M.D.)

Felicia Aboagye , LNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003450412
Trisha Hindy Burks , LCSW

Social Worker - Clinical

NPI 1003550682

Licensed Clinical Social Worker

Anna Koozmin , MSW, LCSW, LICSW

Social Worker - Clinical

NPI 1013694082

Master of Social Work, Licensed Clinical Social Worker, Licensed Independent Clinical Social Worker

Julia Converse , LCSW

Social Worker - Clinical

NPI 1013773985

Licensed Clinical Social Worker

Desiree Roberts , LPC

Counselor - Professional

NPI 1033524525

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2022

Registered at 8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 220314512 (Tel: 5715368197)

📍
Updated Business Mailing Address November 01, 2022

Registered at 8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 220314512 (Tel: 5715368197)

👤
Provider Name / Credentials Updated November 01, 2022

Recorded as JONATHAN WADE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2022

Counselor (License #0701011873 in VA)

🟢
Initial NPI Registration & Enumeration November 01, 2022

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: 1134836810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2022
Last Update: November 01, 2022
Sole Proprietor: No

Mailing Address

8221 Willow Oaks Corporate Dr

Fairfax, VA 220314512

Phone: 5715368197

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.