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

Mrs. Ingrid P Basurto

Individual provider Mental Health Counselor · NPI 1306665310

Mrs. Ingrid P Basurto is a Mental Health Counselor in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2024.

Licensed in
VA
In the registry since
2024

Practice location Address checks out

3919 Blenheim Blvd Ste 83B
Fairfax, VA 22030-2430
Phone: (571) 559-2181
Fax: (571) 621-5708
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 0704016140 (VA)

Record details

NPI number1306665310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address1922 S Walter Reed Dr, Arlington, VA 22204-5113

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