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Ko Eun Lee

Counselor - School β€’ Springfield, VA

Active NPI 1649762089 Individual Practitioner Female Practitioner
Practice location in NPPES

8519 Tuttle Rd
Springfield, VA 221521508

Call 7034518041 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8519 Tuttle Rd

Springfield, VA 221521508

Telephone 7034518041

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Virginia

3 active clinicians are listed under Counselor - School with a practice address in Springfield, VA (237 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-28
Counselor - School Primary Specialty

NUCC Taxonomy Code: 101YS0200X

License # reported to NPPES VA 0733008393
Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 28, 2024

Registered at 8519 TUTTLE RD, SPRINGFIELD, VA 221521508 (Tel: 7034518041)

πŸ“
Updated Business Mailing Address August 28, 2024

Registered at 5743 NORDEEN OAK CT, BURKE, VA 220152209 (Tel: 7035081074)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Counselor (license number reported to NPPES: VA 0733008393)

βœ…
NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 01, 2018

Registered at 10340 DEMOCRACY LN STE 102B&103, FAIRFAX, VA 220302518 (Tel: 5713860871)

πŸ“
Business Mailing Address (Initial Record) June 01, 2018

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

πŸ‘€
Provider Name / Credentials (Initial Record) June 01, 2018

Recorded as KO EUN LEE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 01, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649762089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: August 28, 2024
Sole Proprietor: No

Mailing Address

5743 Nordeen Oak Ct

Burke, VA 220152209

Phone: 7035081074

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.