ICON COMMUNITY SERVICES, INC (NPI# 1386727329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386727329 |
| Entity Type | Organization |
| Organization Name | ICON COMMUNITY SERVICES, INC |
| Practice Address |
1240 N Pitt St Suite Ll Alexandria VA 22314-5600 |
| Practice Telephone | 7035484048 |
| Practice Fax Number | 7035480198 |
| Mailing Telephone | 7035484048 |
| Mailing Fax Number | 7035480198 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ROBYN M FITZGERALD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7035484048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 06303001 | VA | Residential Treatment Facilities |
| Street Address |
1240 N PITT ST SUITE LL |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003359746 | Absolute Massage Therapy | Massage Therapist | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2016-11-29 |
| 1912308784 | Chettia Provost | Chiropractor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2014-09-11 |
| 1891022455 | Dr. Cynthia Durakis, Pllc | Chiropractor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2009-11-03 |
| 1104068717 | Elite Sports Rehabilitation P C | Physical Therapist | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2009-03-27 |
| 1477799625 | Dr. Sean T. Woods, Pllc | Chiropractor | 1240 N Pitt St, Suite 100, Alexandria, VA 22314-5600 | 2008-12-17 |
| 1104083633 | Norine E Lyons | Counselor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2008-05-21 |
| 1194992792 | Barbara Reddy Hoar | Psychiatry & Neurology | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2008-05-13 |
| 1679754667 | Sean Thomas Woods | Chiropractor | 1240 N Pitt St, Alexandria, VA 22314-5600 | 2007-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275005886 | Transformational Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8401 Leaf Rd, Alexandria, VA 22309-1707 | 2018-12-20 |
| 1952880015 | Quintessence Resources, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3318 Memorial St, Alexandria, VA 22306-1545 | 2018-08-09 |
| 1023518289 | Communitty Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7979 Alexandria Pike, Alexandria, KY 41001-1157 | 2018-02-14 |
| 1407042567 | Colwell Interest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3004 Highway 457, Alexandria, LA 71302-9255 | 2007-09-21 |
| 1306062328 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 511 Kimball Ave, Alexandria, LA 71301-5005 | 2007-04-18 |
| 1457576977 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3207 Madonna Dr, Alexandria, LA 71301-4816 | 2007-04-17 |
| 1598980096 | Pinecrest Developmental Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 528 Bob White Ln, Alexandria, LA 71303-2415 | 2007-04-17 |
| 1841414489 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3848 Independence Dr, Suite A, Alexandria, LA 71303-3533 | 2007-04-13 |
| 1447474135 | St. Genevive Health Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3032 Jackson St, Alexandria, LA 71301-4743 | 2007-04-12 |
| 1316272628 | Salvation Academy | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4810 Beauregard St, Suite G1-4, Alexandria, VA 22312-1709 | 2009-10-05 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
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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.