Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962087684 Individual Practitioner Female Practitioner

Crista Lopez , MA

Counselor • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Crista Lopez, MA is a registered healthcare professional specializing in Counselor in Fairfax, VA. Practice services are available at 10379B DEMOCRACY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10379b Democracy Ln

Fairfax, VA 220302505

Telephone 7035912551
Associated Practice Facility / Clinic
🏢 Synergy Counseling, Llc Facility NPI 1336613439

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: 2021-12-03
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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License VA 0704013702

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Theresa Shaltanis , MA, LPC, LMFT

Counselor - Professional

NPI 1023170180

Master of Arts, Licensed Professional Counselor, Licensed Marriage and Family Therapist

Patricia Elias , LCSW

Social Worker - Clinical

NPI 1104989896

Licensed Clinical Social Worker

Rebecca Puchy , LCSW

Social Worker - Clinical

NPI 1134119159

Licensed Clinical Social Worker

NPI 1205480050
Dr. Carla Messenger , PhD

Psychologist - Clinical

NPI 1225158785

Doctor of Philosophy (Ph.D.)

Beverly Tauke , LCSW

Social Worker - Clinical

NPI 1275660094

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2021

Counselor

NPI Profile Active March 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2021

Registered at 10379B DEMOCRACY LN, FAIRFAX, VA 220302505 (Tel: 7035912551)

📍
Updated Business Mailing Address March 15, 2021

Registered at 25099 CROXLEY GREEN SQ, ALDIE, VA 201055672 (Tel: 5712259563)

👤
Provider Name / Credentials Updated March 15, 2021

Recorded as CRISTA LOPEZ, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2021

Student in an Organized Health Care Education/Training Program (License #0704013702 in VA)

🟢
Initial NPI Registration & Enumeration March 15, 2021

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: 1962087684
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2021
Last Update: December 03, 2021
Sole Proprietor: No

Mailing Address

25099 Croxley Green Sq

Aldie, VA 201055672

Phone: 5712259563

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.