Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carissa Coughlin

Individual provider Behavior Technician · NPI 1578109435

Carissa Coughlin is an Occupational Therapist in Private Practice in Mc Lean, Virginia. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Services Inc, a 1,155-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2019
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Practice location Address checks out

1651 Old Meadow Rd
Mc Lean, VA 22102-4311
Phone: (800) 828-5659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1578109435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2019
Last updated in NPPESNovember 25, 2019
Mailing address6 Carly Ct, Monroe Township, NJ 08831-5900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fox Rehabilitation Services Inc — 1155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mc Lean