MR. JOSE LUIS AVILA (NPI# 1194789545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194789545 |
| Entity Type | Individual |
| Full Name | MR. JOSE LUIS AVILA |
| Credential | L.P.C.,. |
| Practice Address |
4946 Schuyler Dr Annandale VA 22003-5144 |
| Practice Telephone | 5712823903 |
| Practice Fax Number | 5712823903 |
| Mailing Telephone | 5712823903 |
| Mailing Fax Number | 5712823903 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701002091 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1194789545 | 05 | |
| VA | AETNA | 31390 | 01 |
| VA | AETNA | 7278061 | 01 |
| VA | APS | 541598045 | 01 |
| VA | VALUE OPTIONS | 83518 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740847268 | Jose Avila | Marriage & Family Therapist | 3047 W Cermak Rd Fl 3, Chicago, IL 60623-3421 | 2019-05-20 |
| 1053512939 | Jose L Avila | Dentist | 14586 Sw 8th St, Miami, FL 33184-3133 | 2007-05-30 |
| 1760419089 | Jose M Avila | Dentist | 41324 Us Highway 19 N, Tarpon Springs, FL 34689-5111 | 2006-06-26 |
| 1720075716 | Jose M Avila | Nurse Practitioner | 6030 W Oklahoma Ave, Milwaukee, WI 53219-4133 | 2005-10-04 |
| 1780187542 | Jose Angel Avila Jr. | Social Worker | 19 May St, Hartford, CT 06105-1519 | 2018-03-17 |
| 1780100677 | Jose Manuel Avila | Behavior Technician | 5580 Lbj Fwy, 615, Dallas, TX 75240 | 2017-08-22 |
| 1730485061 | Jose Luis Avila | Hearing Instrument Specialist | 2730 Wilshire Blvd, Ste. 101, Santa Monica, CA 90403-4743 | 2011-02-03 |
| 1639481872 | Jose David Avila | Psychiatry & Neurology | 100 N Academy Ave, Danville, PA 17822-1405 | 2010-07-03 |
| 1558567875 | Jose Avila | Internal Medicine | 1901 Hamilton St, Suite 300, Allentown, PA 18104-6459 | 2007-06-24 |
| 1275587123 | Jose Luis Avila | Family Medicine | 1380 Ne Miami Gardens Dr, Suite 132, N Miami Beach, FL 33179-4707 | 2006-05-22 |
| Street Address |
4946 SCHUYLER DR |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978914 | Envision Counseling, LLC | Counselor | 7630 Little River Tpke Ste 601, Annandale, VA 22003-2600 | 2020-10-08 |
| 1649883398 | Melissa A Woods, LLC | Counselor | 3624 Buckwood Ct, Annandale, VA 22003-1951 | 2020-08-24 |
| 1699300848 | Julie Robyn Johnson | Counselor | 7620 Little River Tpke Ste 402, Annandale, VA 22003-2623 | 2020-03-09 |
| 1922574060 | Clara A Marshall | Counselor | 7611 Little River Tpke Ste 200e, Annandale, VA 22003-2640 | 2018-10-16 |
| 1972055150 | Jaclyn Michelle Sargent | Counselor | 5101a Backlick Rd, Annandale, VA 22003-6080 | 2016-11-03 |
| 1053750307 | Elizabeth Piren | Counselor | 4608 John Hancock Ct, 302, Annandale, VA 22003-4921 | 2013-06-20 |
| 1376660233 | Living Free Health Services | Counselor | 4306 Evergreen Ln Ste 204, Annandale, VA 22003-3217 | 2007-03-24 |
| 1881780872 | National Counseling Group, Inc. | Counselor | 7620 Little River Tpke, Suite 402, Annandale, VA 22003-2620 | 2006-10-05 |
| 1154351906 | Mary C King | Counselor | 8624 Appleton Ct, Annandale, VA 22003-3806 | 2006-07-04 |
| 1952935330 | Octavia Haughton | Counselor | 7611 Little River Tpke, Annandale, VA 22003-2611 | 2020-02-25 |
| Find all providers in ANNANDALE | ||||
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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.