FAIRFAX COUNTY, VIRGINIA (NPI# 1154356244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154356244 |
| Entity Type | Organization |
| Organization Name | FAIRFAX COUNTY, VIRGINIA |
| Other Organization Name | FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD |
| Practice Address |
12011 Government Center Parkway Suite 836 Fairfax VA 22035 |
| Practice Telephone | 7033247000 |
| Practice Fax Number | 7036536626 |
| Mailing Telephone | 7033247000 |
| Mailing Fax Number | 7036536626 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | DARYL WASHINGTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7033247000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
113 | VA | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 541705851 | 01 | |
| VA | 004945107 | 05 | |
| VA | AMERIGROUP | MHSS | 01 |
| VA | 010200229 | 05 | |
| CAREFIRST BCBS NCA | 5700 | 01 | |
| VA | 008743126 | 05 | |
| VA | ANTHEM | 222044 | 01 |
| VA | 010200181 | 05 | |
| VA | 010200270 | 05 |
| Other Name | Type Code |
|---|---|
| Fairfax-Falls Church Community Services Board | Doing Business As Name - Organization |
| Street Address |
12011 GOVERNMENT CENTER PARKWAY SUITE 836 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396295903 | Tyrone White | Social Worker | 12000 Government Center Pkwy, Fairfax, VA 22035-0002 | 2016-10-06 |
| 1306165444 | Rose Bonner | Registered Nurse | 12011 Government Center Pkwy Ste 300, Fairfax, VA 22035-1100 | 2010-05-28 |
| 1174558266 | Director of Finance-county of Fairfax Va | Clinic/Center | 12011 Government Center Pkwy, Suite 836, Fairfax, VA 22035-1100 | 2006-07-11 |
| 1730515768 | Lauren Janelle Brunner | Social Worker | 12011 Government Center Pkwy, Suite 836, Fairfax, VA 22035-1100 | 2013-09-23 |
| 1558543470 | Lauren Donahoo-hatchell | Social Worker | 12011 Government Center Pkwy, Fairfax, VA 22035-1100 | 2007-12-03 |
| 1487702692 | Patricia Anne Evans | Counselor | 12011 Government Center Pkwy, Suite 300, Fairfax, VA 22035-1100 | 2007-01-08 |
| 1922176544 | John F. Defee | Psychologist | 12011 Government Center Pkwy, Fairfax, VA 22035-1100 | 2006-12-01 |
| 1548345440 | Thomas Hittinger | Social Worker | 12011 Government Center Pkwy, Fairfax, VA 22035-1100 | 2006-10-26 |
| 1922111806 | Catherine Jean Price | Counselor | 12011 Government Center Pkwy, Ste 836, Fairfax, VA 22035-1100 | 2006-08-16 |
| 1871511832 | Cathy Podgorski Pumphrey | Counselor | 12011 Government Center Pkwy, Suite 836, Fairfax, VA 22035-1100 | 2006-07-18 |
| Find all providers in zip 22035 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798329 | Healing and Change Psychotherapy, LLC | Clinic/Center | 3950 Chain Bridge Rd Ste 5, Fairfax, VA 22030-3936 | 2019-12-25 |
| 1851503361 | Anger & Stress Management Center, Inc. | Clinic/Center | 10375b Democracy Lane, Fairfax, VA 22030 | 2007-05-04 |
| 1902412695 | Emerging for Change | Clinic/Center | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2020-09-18 |
| 1174147920 | Transition Family Services | Clinic/Center | 3923 Old Lee Hwy Ste 63d, Fairfax, VA 22030-2428 | 2020-06-07 |
| 1295214112 | Restore Counseling, LLC | Clinic/Center | 10301 Democracy Ln Ste 275, Fairfax, VA 22030-2525 | 2018-08-10 |
| 1376918318 | Wellness Program, LLC | Clinic/Center | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2015-12-02 |
| 1558764134 | Neuropsych Wellness Center | Clinic/Center | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2014-09-26 |
| 1649541855 | Well Marriage Center, LLC | Clinic/Center | 3917 Old Lee Hwy, 11-d, Fairfax, VA 22030-2431 | 2012-01-19 |
| 1316111255 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2008-04-22 |
| 1538183173 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2006-07-27 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on FAIRFAX COUNTY, VIRGINIA.
| 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.