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

Madisen Brooke Moody, LPC

Individual provider Mental Health Counselor · NPI 1194448555

Madisen Brooke Moody, LPC is a Mental Health Counselor in Fairfax, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3060 Williams Dr Ste 105
Fairfax, VA 22031-4669
Phone: (571) 587-3941
Fax: (301) 970-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0704015161 (VA)

Record details

NPI number1194448555
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 21, 2022
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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