THE CENTER FOR CONNECTION, HEALING & CHANGE (NPI# 1295107969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295107969 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR CONNECTION, HEALING & CHANGE |
| Practice Address |
12751 Marblestone Dr Suite 200 Woodbridge VA 22192-8335 |
| Practice Telephone | 7038783291 |
| Mailing Telephone | 7038783291 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | ELAYNE SMITH (FOUNDER) |
| Authorized Official Telephone | 5714081161 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT000175 | DC | Behavioral Health & Social Service Providers |
| Street Address |
12751 MARBLESTONE DR SUITE 200 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225552 | Jessica Escobar | Marriage & Family Therapist | 12751 Marblestone Dr, Suite 200, Woodbridge, VA 22192-8335 | 2015-05-20 |
| 1306222880 | Nichelle Hammiel | Counselor | 12751 Marblestone Dr, Woodbridge, VA 22192-8335 | 2015-08-06 |
| 1942682836 | Courtney Smith | Marriage & Family Therapist | 12751 Marblestone Dr, Suite 200, Woodbridge, VA 22192-8335 | 2015-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013453893 | Christine Alcobendas | Marriage & Family Therapist | 526 Cricket Ln, Woodbridge, NJ 07095-1538 | 2017-01-17 |
| 1306225552 | Jessica Escobar | Marriage & Family Therapist | 12751 Marblestone Dr, Suite 200, Woodbridge, VA 22192-8335 | 2015-05-20 |
| 1770857245 | Elayne Marie Smith | Marriage & Family Therapist | 16124 Olmstead Ln, Woodbridge, VA 22191-4423 | 2012-03-01 |
| 1215240320 | Stephanie Janes | Marriage & Family Therapist | 21 Hazel Terrace Suite B, Woodbridge, CT 06525-6302 | 2010-07-17 |
| 1558548214 | Freya Marie Schwinn | Marriage & Family Therapist | 18826 N Lower Sacramento Rd Ste C, Woodbridge, CA 95258-9290 | 2008-01-24 |
| 1134330046 | Drea Gordon | Marriage & Family Therapist | 260 Amity Rd # 202, Woodbridge, CT 06525-2222 | 2007-05-24 |
| 1407065048 | Thomas Sabellico | Marriage & Family Therapist | 12 Overlook Rd, Woodbridge, CT 06525-1645 | 2007-05-21 |
| 1376658393 | Sydney Marcia Shore | Marriage & Family Therapist | 18826 N Lower Sacramento Rd, Suite C, Woodbridge, CA 95258-9290 | 2006-08-20 |
| 1497352553 | Fonda A. Settles | Marriage & Family Therapist | 2501 Hunter Pl Ste 201, Woodbridge, VA 22192-3940 | 2020-10-01 |
| 1194351247 | Kim Arellano | Marriage & Family Therapist | 1308 Devils Reach Rd, Woodbridge, VA 22192-2806 | 2020-03-20 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on THE CENTER FOR CONNECTION, HEALING & CHANGE.
| 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.