ABIGAIL F VANDIVIER (LPC) – Mental Health Counselor, NPI 1538935689

ABIGAIL F VANDIVIER (LPC) is a healthcare provider. based in Reston, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 0701014251 (VA). The NPI Number for ABIGAIL F VANDIVIER (LPC) is 1538935689

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ABIGAIL F VANDIVIER (LPC)
NPI
1538935689
Phone
(703) 522-2089
Address
12007 SUNRISE VALLEY DR STE 120
Enumeration Date
29 November 2023
Last Update Date
2 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035924600
Graduation Year
2021 (5 years ago)
PAC ID
1658809512
Group Practice PAC ID
3375978984
Professional Enrollment ID
I20250107000731
Address ID
VA221823962VI2110XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for ABIGAIL F VANDIVIER (LPC)

  • 12007 SUNRISE VALLEY DR STE 120

    RESTON, VA 201913460

    Phone: (703) 522-2089

    Mailing address matches the actual address.

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: 2025-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250107000731IMental Health CounselorDCTBD
I20250112000019IMental Health CounselorVATBD

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 20191)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375978984View full group profile
NameSpecialtyState
Mental Health CounselorVA
Family Practice, General PracticeVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
P S Y C H I A T R YPA
Nurse PractitionerVA
P S Y C H I A T R YVA
Psychiatry, Geriatric PsychiatryMD
Psychiatry, NeuropsychiatryVA

Reviews

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Frequently asked questions

How is ABIGAIL F VANDIVIER (LPC) identified in CMS data?
CMS-hosted NPPES data lists ABIGAIL F VANDIVIER (LPC) with NPI 1538935689.
Is ABIGAIL F VANDIVIER (LPC) still practicing?
ABIGAIL F VANDIVIER (LPC) is currently listed as active in the public NPI registry.
What healthcare role does ABIGAIL F VANDIVIER (LPC) hold?
Scheduling teams often label ABIGAIL F VANDIVIER (LPC) under Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does ABIGAIL F VANDIVIER (LPC) list a practice location?
Patients near Reston, Virginia may find ABIGAIL F VANDIVIER (LPC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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