Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194478933 Deactivated / Inactive NPI Female Practitioner

Tiara Ashlee Reddick , LPC

Counselor • Fairfax, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tiara Reddick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2022
NPI Deactivation Date February 01, 2022
Total Practice Duration ~1 Years of Practice (2022 – 2022)

Professional Overview & Biography Verified Profile Summary

Tiara Reddick, LPC was a registered Counselor practicing in Fairfax, VA. Throughout an active medical career spanning 1 years, Tiara Reddick provided care at the practice location at 9687 MAIN ST STE D until profile deactivation on 2022-02-01.

Practice Location & Contact Primary Location

Practice Address

9687 Main St Ste D

Fairfax, VA 220313753

Telephone 7033038832
Fax 7039918317
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Fairfax, VA (1071 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: 2022-04-05
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Elizabeth Arrowood , MA, LPC, CYT

Counselor - Professional

NPI 1093564528

Master of Arts, Licensed Professional Counselor, CYT

Carly Ikuma

Counselor - Professional

NPI 1427571629
Wendy Cdebaca-White , LPC

Counselor - Professional

NPI 1447009964

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
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Updated Practice Location April 05, 2022

Registered at 9687 MAIN ST STE D, FAIRFAX, VA 220313753 (Tel: 7033038832)

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Updated Business Mailing Address April 05, 2022

Registered at 9687 MAIN ST STE D, FAIRFAX, VA 220313753 (Tel: 7033038832)

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Provider Name / Credentials Updated April 05, 2022

Recorded as TIARA REDDICK, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Counselor

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NPI Profile Deactivated February 01, 2022

Record deactivated on February 01, 2022

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Initial NPI Registration & Enumeration February 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: 1194478933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2022
Last Update: April 05, 2022
Deactivation Date: February 01, 2022
Sole Proprietor: No

Mailing Address

9687 Main St Ste D

Fairfax, VA 220313753

Phone: 7033038832

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.