Jacques De Broekert, - Counselor in Reston, VA

Jacques De Broekert, is a Counselor - Mental Health based in Reston, Virginia. Jacques De Broekert is licensed to practice in * (Not Available) (license number ) and his current practice location is 1608 Washington Plz, Reston, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 728-5137.

NPI number for Jacques De Broekert is 1144633306 and his current mailing address is 1608 Washington Plz, Reston, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144633306.

Contact Information

Jacques De Broekert,
1608 Washington Plz,
Reston, VA 20190-4303
(703) 728-5137
Not Available

Healthcare Provider's Profile

Full NameJacques De Broekert
GenderMale
SpecialityCounselor - Mental Health
Location1608 Washington Plz, Reston, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144633306
  • Provider Enumeration Date: 06/05/2014
  • Last Update Date: 03/01/2021

Medical Identifiers

Medical identifiers for Jacques De Broekert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144633306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacques De Broekert is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacques De Broekert,
1608 Washington Plz,
Reston, VA 20190-4303

Ph: (703) 728-5137
Jacques De Broekert,
1608 Washington Plz,
Reston, VA 20190-4303

Ph: (703) 728-5137

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Counselor in Reston, VA

William C Kapfer,
Counselor
Medicare: Medicare Enrolled
Practice Location: 11260 Roger Bacon Dr Ste 103, Reston, VA 20190
Phone: 855-284-7483    Fax: 617-807-0958
Ms. Nancy Whiteley, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11250 Roger Bacon Dr, Suite 7, Reston, VA 20191
Phone: 703-689-3537    
Mrs. Patricia Susan Small, LPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190
Phone: 703-403-9773    
Mary Bolton-owens, L.P.C.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12359 Sunrise Valley Dr, Suite 220, Reston, VA 20191
Phone: 301-620-9762    
Dr. Ruth A Freud, LCSW, PSY.D.
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 11260 Roger Bacon Dr Ste 204, Reston, VA 20190
Phone: 703-435-7558    Fax: 571-446-3988
Mrs. Jasmine Dearborn, LRC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12007 Sunrise Valley Dr, Reston, VA 20191
Phone: 804-207-6737    
Lauren Campbell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 11250 Roger Bacon Dr Ste 102, Reston, VA 20190
Phone: 330-701-4429    

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