Northern Lights Psychotherapy in Leesburg, VA

Northern Lights Psychotherapy is a medicare enrolled mental health clinic (Psychologist - Clinical) in Leesburg, Virginia. The current practice location for Northern Lights Psychotherapy is 222 Catoctin Cir Se Ste 126, Leesburg, Virginia. For appointments, you can reach them via phone at (571) 477-1613. The mailing address for Northern Lights Psychotherapy is 24400 Moon Glade Ct, Aldie, Virginia and phone number is (571) 379-6668.

Northern Lights Psychotherapy is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104450105. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (571) 477-1613.

Contact Information

	Northern Lights Psychotherapy
	222 Catoctin Cir Se Ste 126 Leesburg VA 20175-3730
	(571) 477-1613
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Northern Lights Psychotherapy
Speciality	Psychologist
Location	222 Catoctin Cir Se Ste 126, Leesburg, Virginia
Authorized Official Name and Position	Sofia A Graham (CLINICAL PSYCHOLOGIST/OWNER)
Authorized Official Contact	5714771613
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Northern Lights Psychotherapy 24400 Moon Glade Ct Aldie VA 20105-3148 Ph: (571) 379-6668	Northern Lights Psychotherapy 222 Catoctin Cir Se Ste 126 Leesburg VA 20175-3730 Ph: (571) 477-1613

NPI Details:

NPI Number	1104450105
Provider Enumeration Date	02/27/2020
Last Update Date	02/27/2020
Certification Date	02/27/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	9234568577
Medicare Enrollment ID	O20200407002764

Medical Identifiers

Medical identifiers for Northern Lights Psychotherapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104450105	NPI	-	NPPES
1104228121	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northern Lights Psychotherapy acts as a billing entity for following providers:

Provider Name	Sofia A Graham
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1104228121 PECOS PAC ID: 7214218429 Enrollment ID: I20161230001074

Reviews and Comments

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Northern Lights Psychotherapy - Medicare Mental Health Clinic in Leesburg, VA