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

MS. Johanna Pena, RIC

Individual provider Professional Counselor · NPI 1265217699

MS. Johanna Pena, RIC is a Mental Health Counselor in Fredericksburg, Virginia. Qualified in 2021, 5 years ago. Practices with Prince William County Community Services Board, a 54-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

19248 Tidewater Trl
Fredericksburg, VA 22408-9357
Phone: (954) 881-2169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (VA)

Record details

NPI number1265217699
Entity typeIndividual (Type 1)
GenderFemale
Credentials RIC
Sole proprietorYes
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 24, 2023
Certification dateMay 29, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prince William County Community Services Board — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fredericksburg