DR. MARY MOORE ARLEDGE (PHD) – Counselor, NPI 1235175068

DR. MARY MOORE ARLEDGE (PHD) is a healthcare provider. based in Fairfax, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PHD. They hold a License No. 0701002764 (VA). The NPI Number for DR. MARY MOORE ARLEDGE (PHD) is 1235175068

Main info

Female
Sole Proprietor
30 Years Of Experience
Name
DR. MARY MOORE ARLEDGE (PHD)
NPI
1235175068
Phone
(202) 760-1998
Address
3919 OLD LEE HWY STE 82C
Enumeration Date
21 June 2006
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9335636182
Professional Enrollment ID
I20251015000310
Address ID
VA220303478FA4041XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for DR. MARY MOORE ARLEDGE (PHD)

  • 3919 OLD LEE HWY STE 82C

    FAIRFAX, VA 220302430

    Phone: (202) 760-1998

    Type: Mailing

  • 4041 UNIVERSITY DR STE 200

    FAIRFAX, VA 220303410

    Phone: (202) 760-1998

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251015000310IMental Health CounselorDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22030)

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Reviews

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Frequently asked questions

How do payers reference DR. MARY MOORE ARLEDGE (PHD)?
For DR. MARY MOORE ARLEDGE (PHD), use NPI 1235175068 as the unique 10-digit identifier.
Would DR. MARY MOORE ARLEDGE (PHD) appear as active to a payer?
You can treat DR. MARY MOORE ARLEDGE (PHD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MARY MOORE ARLEDGE (PHD)?
DR. MARY MOORE ARLEDGE (PHD) is associated with Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. MARY MOORE ARLEDGE (PHD) registered?
Use Fairfax, Virginia as the headline location for DR. MARY MOORE ARLEDGE (PHD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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