Healthcare Provider Details

I. General information

NPI: 1629749981
Provider Name (Legal Business Name): NILGUN TASKINTUNA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NILGUN TANRIVERDI

II. Dates (important events)

Enumeration Date: 09/25/2021
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 GREAT FALLS ST STE 101
FALLS CHURCH VA
22046-3446
US

IV. Provider business mailing address

131 GREAT FALLS ST STE 101
FALLS CHURCH VA
22046-3446
US

V. Phone/Fax

Practice location:
  • Phone: 571-228-1660
  • Fax:
Mailing address:
  • Phone: 571-228-1660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200002427
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014438
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: