Provider Demographics
NPI:1164511226
Name:JONES, ROUYAN (LPC, LISCW, LMFT)
Entity Type:Individual
Prefix:
First Name:ROUYAN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC, LISCW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2325
Mailing Address - Country:US
Mailing Address - Phone:571-748-2822
Mailing Address - Fax:703-237-2083
Practice Address - Street 1:6400 ARLINGTON BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2325
Practice Address - Country:US
Practice Address - Phone:571-748-2822
Practice Address - Fax:703-237-2083
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000914101YP2500X
DCLC3015461041C0700X
VA0717000770106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA293960OtherAMERIGROUP
468457OtherTRICARE MHN
VA1164511226Medicaid
VA7468228OtherAETNA
375748OtherANTHEM BCBS
1462991OtherUNITED BEHAVIORAL HEALTH
VA149217000OtherEAP MAGELLAN
VA207754OtherKAISER
A3640050OtherCAREFIRST BCBS
VA1034687OtherCIGNA
VA484018000OtherMAGELLAN
VA1164511226Medicaid