MEDICARE: KATIE BOGGS LPC

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	101YP2500X	Professional Counselor	0701014021	VA

General Provider Information

NPI Number	:	1992524763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE BOGGS LPC

Provider Business Mailing Address
First Line	:	5250 CHEROKEE AVE STE AND305
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5250 CHEROKEE AVE STE 211
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2052
Country	:	US
Telephone Number	:	703-286-7899
Fax Number	:

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

Provider Enumeration Date	:	10/08/2024
Last Update Date	:	05/12/2026

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Directions to “ KATIE BOGGS LPC” Practice Location

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