Carl Street, LPC - Medicare Counselor in Bristow, VA

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Carl Street, LPC is a medicare enrolled "Counselor" provider in Bristow, Virginia. He graduated from healthcare school in 2011 and has 15 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Youth For Tomorrow New Life Center Inc and his current practice location is 11835 Hazel Circle Dr, Bristow, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 636-5100.

Carl Street is licensed to practice in Virginia (license number 0701005656) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720450943.

Contact Information

Carl Street, LPC
11835 Hazel Circle Dr,
Bristow, VA 20136-2180
(703) 636-5100
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCarl Street
GenderMale
SpecialityMental Health Counselor
Experience15 Years
Location11835 Hazel Circle Dr, Bristow, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carl Street graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1720450943
  • Provider Enumeration Date: 10/27/2015
  • Last Update Date: 10/27/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2860831336
  • Enrollment ID: I20240416004133

Medical Identifiers

Medical identifiers for Carl Street such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720450943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 0701005656 (Virginia)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 0718000249 (Virginia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Youth For Tomorrow New Life Center Inc195167322715

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carl Street allows following entities to bill medicare on his behalf.
Entity NameYouth for Tomorrow New Life Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316118292
PECOS PAC ID: 1951673227
Enrollment ID: O20170822000018

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carl Street is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carl Street, LPC
14488 Sharpshinned Dr,
Gainesville, VA 20155-5837

Ph: (703) 753-7229		Carl Street, LPC
11835 Hazel Circle Dr,
Bristow, VA 20136-2180

Ph: (703) 636-5100

Reviews and Comments


Counselor in Bristow, VA

Naglaa Boutros Moussa, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 13199 Guildtown Pl, Bristow, VA 20136
Phone: 972-880-3510    
Natalia Becker, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136
Phone: 703-396-7263    
Mr. Terry Robert Tinsley, LPC, LMFT, NCC CSOTP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136
Phone: 703-631-3360    
Mrs. Naomi Britton, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136
Phone: 703-636-5105    Fax: 877-411-7387
Meagan A Caesar, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136
Phone: 703-396-7240    
Katelyn E Clark, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136
Phone: 571-416-0537    
Mrs. Estefania Cruz De Pina, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136
Phone: 703-659-2927    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.