Healthcare Provider Details

I. General information

NPI: 1851203590
Provider Name (Legal Business Name): CHIARA PEPINO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 GREENSBORO STATION PL
MC LEAN VA
22102-3467
US

IV. Provider business mailing address

732 THIMBLE SHOALS BLVD STE 203
NEWPORT NEWS VA
23606-4262
US

V. Phone/Fax

Practice location:
  • Phone: 703-239-4511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: