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

Michael Robert Formichella, MS

Individual provider Mental Health Counselor · NPI 1386201382

Michael Robert Formichella, MS is a Mental Health Counselor in Leesburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

102 Heritage Way NE Ste 302
Leesburg, VA 20176-4544
Phone: (703) 771-5100
Fax: (703) 777-0170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701012019 (VA)

Record details

NPI number1386201382
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedMay 24, 2019
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address102 Heritage Way Ne, Suite 302 Po Box 7400, Leesburg, VA 20177-7400

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