CAMERON GREGORY MITTELMAN (NPI# 1154567576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154567576 |
| Entity Type | Individual |
| Full Name | CAMERON GREGORY MITTELMAN |
| Practice Address |
10651 Lomond Dr Manassas VA 20109-2808 |
| Practice Telephone | 7033692976 |
| Practice Fax Number | 7033662777 |
| Mailing Telephone | 7033692976 |
| Mailing Fax Number | 7033662777 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
10651 LOMOND DR |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487805511 | Lindsay S Hauer | Behavioral Analyst | 10651 Lomond Dr, Manassas, VA 20109-2808 | 2008-10-07 |
| 1952541682 | Krislyn Candace Rohrback | Counselor | 10651 Lomond Dr, Manassas, VA 20109-2808 | 2009-02-20 |
| 1659522761 | Matthews Center for Visual Learning | Day Training, Developmentally Disabled Services | 10651 Lomond Dr, Manassas, VA 20109-2808 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983484 | A. Lawrence Christian Counseling LLC | Counselor | 8213 Sudley Rd Ste 202, Manassas, VA 20109-3507 | 2020-08-22 |
| 1720527286 | Lasheika N Hill | Counselor | 5819 Fincastle Dr, Manassas, VA 20112-5416 | 2017-02-16 |
| 1598126435 | Christopher Doyle | Counselor | 10620 Crestwood Dr Ste C, Manassas, VA 20109-4403 | 2016-03-18 |
| 1841656287 | Ruben Molina | Counselor | 9720 Capital Ct Ste 303, Manassas, VA 20110-2051 | 2016-01-14 |
| 1871986398 | Patrick Divietri | Counselor | 7502 Diplomat Dr Ste B, Manassas, VA 20109-2507 | 2015-03-09 |
| 1508273491 | Jennifer Lee Strickland | Counselor | 8644 Sudley Rd Ste 300, Manassas, VA 20110-4425 | 2014-07-13 |
| 1760721252 | Angelique Lawrence | Counselor | 9819 Sudley Manor Dr, Manassas, VA 20109-6230 | 2013-02-05 |
| 1376822445 | Douglas Green | Counselor | 8715 Plantation Ln, Ste 301 A, Manassas, VA 20110-8323 | 2011-08-08 |
| 1982847877 | Calvary Maternity Counseling Services | Counselor | 9533 School St, Manassas, VA 20110-5622 | 2009-04-08 |
| 1184161168 | Lonnica Darden | Counselor | 7611 Coppermine Dr, Manassas, VA 20109-2668 | 2017-01-27 |
| Find all providers in MANASSAS | ||||
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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.