EPHESIANS LIFE MINISTRIES (NPI# 1003967563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003967563 |
| Entity Type | Organization |
| Organization Name | EPHESIANS LIFE MINISTRIES |
| Practice Address |
260 Cedar Ln Se # B Vienna VA 22180-6698 |
| Mailing Address |
1620 Elton Rd Ste 204 Silver Spring MD 20903-1760 |
| Practice Telephone | 7032040250 |
| Mailing Telephone | 3014397191 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SUNNY S PARK (THERAPIST) |
| Authorized Official Telephone | 2404723216 |
| Authorized Official Credential | L.C.S.W.-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
11220 | MD | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0904005471 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | KAISER | 258321 | 01 |
| MD | MHN | 351252 | 01 |
| MD | AETNA | 7839381 | 01 |
| MD | MAMSI | 2133171 | 01 |
| MD | NCPPO | 633647 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831420991 | Ephesians Life Ministries | Social Worker | 1620 Elton Rd, Suite 204, Silver Spring, MD 20903-1740 | 2010-01-28 |
| Street Address |
260 CEDAR LN SE # B |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-6698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
| Find all providers in zip 22180 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770060717 | Across Counseling LLC | Counselor | 501 Church St Ne Ste 207, Vienna, VA 22180-4734 | 2018-07-23 |
| 1568983096 | Jodi Witthaus | Counselor | 100 Oliver St, Vienna, IL 62995-1686 | 2017-07-06 |
| 1477923050 | George Edward Harrington IIi | Counselor | 8150 Leesburg Pike Ste 740, Vienna, VA 22182-7700 | 2015-09-25 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1043596356 | Jennifer Speed Byrnes | Counselor | 501 Church St Ne Ste 106, Vienna, VA 22180-4734 | 2011-11-01 |
| 1811054364 | Roberta Cordingley | Counselor | 415 Church St Ne Ste 101, Vienna, VA 22180-4742 | 2007-01-03 |
| 1043817547 | Regaina Madden | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-10-07 |
| 1003434291 | Madison Kimbrell | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-07-14 |
| 1437773710 | Riley Warren | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-06-03 |
| 1164046447 | Jacob Lorenz | Counselor | 101 Oliver St, Vienna, IL 62995-1660 | 2020-06-03 |
| Find all providers in VIENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.