THE CHILD & FAMILY COUNSELING GROUP, PLC


Address: 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041
Phone: 7033523822

THE CHILD & FAMILY COUNSELING GROUP, PLC (NPI# 1306024914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306024914
Entity Type Organization
Organization Name THE CHILD & FAMILY COUNSELING GROUP, PLC
Practice Address 3959 Pender Dr
Suite 320
Fairfax
VA 22030-6041
Practice Telephone 7033523822
Practice Fax Number 7033858353
Mailing Telephone 7033523822
Mailing Fax Number 7033858353
Enumeration Date 2008-02-06
Last Update Date 2008-02-06
Authorized Official Name DR. JOHN W WIRES (NEUROPSYCHOLOGIST)
Authorized Official Telephone 7033523822
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
0904006205 VA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
0904000808 VA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
0810003490 VA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
0810002990 VA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
0810003772 VA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
0810002885 VA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
0904002144 VA Behavioral Health & Social Service Providers
N 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
0810003557 VA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
0904002754 VA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
0904004294 VA Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
0904006034 VA Behavioral Health & Social Service Providers
N 235Z00000X Speech-Language Pathologist 2202003015 VA Speech, Language and Hearing Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
0810001681 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE GROUP NUMBER G00452 01

Office Location

Street Address 3959 PENDER DR
SUITE 320
City FAIRFAX
State VA
Zip Code 22030-6041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588610679 Meier Clinics Foundation Social Worker 3959 Pender Dr, Suite 305, Fairfax, VA 22030-6041 2006-05-26
1669860706 Anne Knabel Counselor 3959 Pender Dr, Suite 305, Fairfax, VA 22030-6041 2014-12-23
1790071694 Samuel Huisok Yun Ophthalmology 3959 Pender Dr, Ste 260, Fairfax, VA 22030-6041 2011-06-20
1053601450 Learning Alliance, LLC Community/Behavioral Health 3959 Pender Dr, Fairfax, VA 22030-6041 2011-04-19
1922322106 Jennifer Wright Social Worker 3959 Pender Dr, Ste. 109, Fairfax, VA 22030-6041 2010-03-17
1992900799 Sarah Elizabeth Hardy Psychologist 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 2007-06-20
1972704575 Karen N Wires Speech-Language Pathologist 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 2007-05-30
1811109663 Laura Denham Robbins Social Worker 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 2007-05-04
1831301084 Maureen Gallagher Social Worker 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 2007-05-03
1518187426 Patricia Michelle Mullaley Psychologist 3959 Pender Dr, #320, Fairfax, VA 22030-6041 2007-04-26
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NPI Name Taxonomy Address Enumeration
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1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457644585 Tara Banks Wallace Psychologist 8626 Lee Hwy Ste 200, Fairfax, VA 22031-2135 2011-05-23
1093877300 Susie Elizabeth Caron Psychologist 325 Swamp Rd, Fairfax, VT 05454-9777 2006-12-14
1770656035 Childhelp,inc. Psychologist 11230 Waples Mill Rd Ste 105, Fairfax, VA 22030-6002 2006-11-16
1245685783 Michelle Hendrickson Psychologist 11204 Waples Mill Rd, Fairfax, VA 22030-6036 2016-05-03
1285970087 Catherine A Rathman Psychologist 11204 Waples Mill Rd, Fairfax, VA 22030-6036 2012-12-26
1407052905 Deborah Cohen Psychologist 10339a Democracy Lane, Fairfax, VA 22030 2007-06-22

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1346613668 Brian Edward Razzino Psychologist 150 Little Falls St Ste 200, Falls Church, VA 22046-4315 2015-11-09
1538597448 Jadig Garcia Psychologist 10571 Telegraph Rd Ste 110, Glen Allen, VA 23059-4652 2013-10-31
1629327226 Angela Michelle Malo Psychologist 11480 Sunset Hills Rd, Reston, VA 20190-5265 2012-08-29
1093092272 Peter F Cooper Psychologist 359 Sherwood Ave, Staunton, VA 24401-4430 2011-11-15
1972889871 Sara Markese Phd Pllc Psychologist 2813 Lee Oaks Ct, Suite 304, Falls Church, VA 22046-7336 2011-10-24
1598088502 Megan F Gerbracht Psychologist 1489 Chain Bridge Rd Ste 203, Mc Lean, VA 22101-5724 2010-03-04
1346572351 Jill Allison Ferrante Gasper Psychologist 508 Libbie Ave, Suite 100, Richmond, VA 23226-2618 2010-02-02
1770754285 Victor M. Huertas Psychologist 8232 La Faye Ct, Alexandria, VA 22306-3200 2008-03-13
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Competitor

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City FAIRFAX
Zip Code 22030

Improve Information

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Dataset Information

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.

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