FIDELIS THERAPY, LLC (NPI# 1295252146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295252146 |
| Entity Type | Organization |
| Organization Name | FIDELIS THERAPY, LLC |
| Practice Address |
2555 Chain Bridge Rd Vienna VA 22181-5517 |
| Mailing Address |
11350 Random Hills Rd Fl 8 Fairfax VA 22030-6044 |
| Practice Telephone | 7034746427 |
| Mailing Telephone | 7024746427 |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-08-22 |
| Authorized Official Name | DR. ELEANOR VINCENT (CEO/THERAPIST) |
| Authorized Official Telephone | 7034746427 |
| Authorized Official Credential | EDD, LPC, CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0701006683 | VA | Agencies |
| Street Address |
2555 CHAIN BRIDGE RD |
| City | VIENNA |
| State | VA |
| Zip Code | 22181-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720045453 | Maged Hussein | Specialist | 2555 Chain Bridge Rd, Vienna, VA 22181-5517 | 2006-04-27 |
| 1477929388 | Carestaff Nursing Services, Inc | Home Health | 2555 Chain Bridge Rd, Vienna, VA 22181-5517 | 2015-08-14 |
| 1023252624 | Madison Family Medicine, PC | Clinic/Center | 2555 Chain Bridge Rd, Vienna, VA 22181 | 2009-04-27 |
| 1659390524 | Hamid S Assadi | Family Medicine | 2555 Chain Bridge Rd, Vienna, VA 22181 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134253 | Samuel Weldon Brown | Dentist | 2553 Chain Bridge Road, Vienna, VA 22181 | 2007-04-19 |
| 1104984962 | Hisham Barakat | Dentist | 2553 Chain Bridge Rd., Vienna, VA 22181 | 2006-12-05 |
| 1639265945 | Barbara R Finn | Social Worker | 9970 Vale Road, Vienna, VA 22181 | 2006-10-05 |
| 1942847520 | Tala Khayyer | Dentist | 2026 Hunter Mill Rd, Vienna, VA 22181-2805 | 2019-12-03 |
| 1083803456 | John P Allen | Psychologist | 2009 Carriage Ct, Vienna, VA 22181-2923 | 2007-10-22 |
| 1245223221 | James Gregory Bennett | Specialist | 2208 Aryness Dr, Vienna, VA 22181-3045 | 2005-08-25 |
| 1841566130 | Lacey Kahner Meenaghan | Speech-Language Pathologist | 2415 Riviera Dr, Vienna, VA 22181-3120 | 2012-03-30 |
| 1477869246 | Ruth Provenzano | Social Worker | 9924 Steeple Run, Vienna, VA 22181-3157 | 2010-08-31 |
| 1972922292 | Reza Razian | Pharmacist | 2205 Abbotsford Dr, Vienna, VA 22181-3220 | 2014-04-15 |
| 1508110230 | Maura Ann Levesque | Social Worker | 2225 Carmichael Dr, Vienna, VA 22181-3222 | 2012-11-02 |
| Find all providers in zip 22181 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543253 | Pixel Life Solutions | Community/Behavioral Health | 602 Plum St Sw, Vienna, VA 22180-6328 | 2020-06-24 |
| 1033578877 | Zdp Associates | Community/Behavioral Health | 911 Symphony Cir Sw, Vienna, VA 22180-5960 | 2016-02-22 |
| 1750652764 | Alternative House - The Abused and Homeless Children's Refuge | Community/Behavioral Health | 2100 Gallows Rd, Vienna, VA 22182-3910 | 2012-01-23 |
| 1316276603 | Virginia Family Counseling, Inc. | Community/Behavioral Health | 410 Maple Ave W Ste 7, Vienna, VA 22180-4224 | 2009-12-15 |
| 1255669255 | Pastoral Counseling of Northern Virginia | Community/Behavioral Health | 541 Marshall Rd Sw, Vienna, VA 22180-6462 | 2009-12-02 |
| 1265689160 | Vienna Group Home | Community/Behavioral Health | 8613 Janet Lane, Vienna, VA 22160 | 2008-08-21 |
| 1053589176 | Middle Flint Community Service Board | Community/Behavioral Health | 1404 E Union St, Vienna, GA 31092-7530 | 2008-02-11 |
| 1285006270 | Pediatric Therapy Studio | Community/Behavioral Health | 2106 Gallows Rd, Suite E, Vienna, VA 22182-3961 | 2015-10-29 |
| 1356726707 | Family Counseling Center | Community/Behavioral Health | 408 E Vine St, Same, Vienna, IL 62995-1612 | 2015-07-28 |
| 1801271259 | Family Counseling Center, Inc | Community/Behavioral Health | 408 E Vine St, Vienna, IL 62995-1612 | 2015-07-28 |
| Find all providers in VIENNA | ||||
Please comment or provide details below to improve the information on FIDELIS THERAPY, LLC.
| 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.