Healthcare Provider Details

I. General information

NPI: 1023946951
Provider Name (Legal Business Name): MONICA BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21351 GENTRY DR STE 200
STERLING VA
20166-8512
US

IV. Provider business mailing address

11712 DECADE CT
RESTON VA
20191-2942
US

V. Phone/Fax

Practice location:
  • Phone: 703-493-0891
  • Fax:
Mailing address:
  • Phone: 315-744-7383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704015870
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: