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Active NPI 1386863751 Individual Practitioner Female Practitioner

Mary Elizabeth Gibbons , LAC, NCCAOM DIPL

Acupuncturist • Reston, VA

Professional Overview & Biography Verified Profile Summary

Mary Gibbons, LAC, NCCAOM DIPL is a registered healthcare professional specializing in Acupuncturist in Reston, VA. Practice services are available at 11250 ROGER BACON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11250 Roger Bacon Dr
Suite 23

Reston, VA 201905219

Telephone 7032315058
Associated Practice Facility / Clinic
🏢 Jan Stephen Sumner, D.c.,p.c. Facility NPI 1053479568

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Reston, VA (488 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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License VA 0121000334

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

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

13 Associated Practitioners
Nancy Whiteley , LPC

Counselor - Mental Health

NPI 1013116789

Licensed Professional Counselor

Patricia Small , LPC, NCC

Counselor - Professional

NPI 1013139724

Licensed Professional Counselor, National Certified Counselor

NPI 1093849093

Licensed Clinical Social Worker, CAC, CEAP, DCSW

Ellen Kabat , LCSW

Social Worker - Clinical

NPI 1275663890

Licensed Clinical Social Worker

Judith Brown , M ED

Counselor - Mental Health

NPI 1346557394

Master of Education

Courtney Pierce

Social Worker - Clinical

NPI 1467329144

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11250 ROGER BACON DR, SUITE 23, RESTON, VA 201905219 (Tel: 7032315058)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6207 HARDY DR, MCLEAN, VA 221013115 (Tel: 7038931537)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY GIBBONS, L.AC., NCCAOM DIPL.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Acupuncturist (License #0121000334 in VA)

🟢
Initial NPI Registration & Enumeration April 24, 2007

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: 1386863751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

6207 Hardy Dr

Mclean, VA 221013115

Phone: 7038931537

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.