Northern Lights Psychotherapy
NPI 1104450105 · Clinical Psychologist · Leesburg, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Lights Psychotherapy is a Clinical Psychologist organization in Leesburg, VA (NPI 1104450105).
Provider details
- NPI number
- 1104450105
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sofia Graham, Clinical Psychologist/Owner(571) 477-1613
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Frequently asked questions
- What is Northern Lights Psychotherapy's NPI number?
- Northern Lights Psychotherapy's National Provider Identifier (NPI) is 1104450105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lights Psychotherapy?
- Northern Lights Psychotherapy is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Northern Lights Psychotherapy located?
- Northern Lights Psychotherapy's practice location on file with NPPES is 222 Catoctin Cir Se Ste 126, Leesburg, VA 20175-3730.
- What is Northern Lights Psychotherapy's phone number?
- The practice phone number listed in the NPPES registry for Northern Lights Psychotherapy is (571) 477-1613.
- Does Northern Lights Psychotherapy accept Medicare?
- Northern Lights Psychotherapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Lights Psychotherapy?
- The authorized official listed on Northern Lights Psychotherapy's NPPES record is Sofia Graham, Clinical Psychologist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lights Psychotherapy's NPI active?
- Yes — Northern Lights Psychotherapy's NPI (1104450105) is active in the NPPES registry as of the last update on 2020-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.