MEDICARE: JEFF BOSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	0704018674	VA

General Provider Information

NPI Number	:	1376411553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFF BOSS

Provider Business Mailing Address
First Line	:	8176 MADRILLON CT
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-3752
Country	:	US
Telephone Number	:	757-635-3215
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 FORT MYER DR STE 330
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-3108
Country	:	US
Telephone Number	:	855-641-3203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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Directions to “ JEFF BOSS ” Practice Location

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