ANDREA MICHELLE BRUCKNER


Address: 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237
Phone: 7032049100

ANDREA MICHELLE BRUCKNER (NPI# 1396042974) 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) 1396042974
Entity Type Individual
Full Name ANDREA MICHELLE BRUCKNER
Credential LPC
Practice Address 3025 Hamaker Ct Ste 450
Fairfax
VA 22031-2237
Mailing Address 200 Wood Hill Rd
Rockville
MD 20850-8724
Practice Telephone 7032049100
Practice Fax Number 3014681862
Mailing Telephone 3018384200
Mailing Fax Number 3014681862
Enumeration Date 2011-02-17
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
0701008666 VA Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
72022793503 UT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
17214 Division St, Portland, OR 97236 5037615272

Office Location

Street Address 3025 HAMAKER CT STE 450
City FAIRFAX
State VA
Zip Code 22031-2237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477164622 Carolina Isabel Castedo Counselor 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2020-08-12
1598399701 Komal Bhutto Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2020-02-26
1932733136 Caren Ann Appel Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2020-02-26
1295371417 Maighdlin Terzaghi Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2019-11-22
1619533460 Casey M Glassman Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2019-05-17
1912563024 Sandy Miyamoto Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2019-05-14
1932668472 Ida Damkilde Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2019-03-14
1861965709 Maribel E Velez Counselor 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2019-01-03
1346749207 Melissa Zissman Golub Social Worker 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2018-02-06
1154793735 Jamie Kanter Counselor 3025 Hamaker Ct Ste 450, Fairfax, VA 22031-2237 2015-10-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376161299 Julie Embrey Bowman Counselor 3929 Old Lee Hwy Ste 92d, Fairfax, VA 22030-2421 2020-07-07
1588282685 Keystone Therapy Group, LLC Counselor 10560 Main St Ste 511, Fairfax, VA 22030-7173 2020-07-06
1356977458 Lauren Rivers Counselor 10650 Main St, Fairfax, VA 22030-3814 2020-03-20
1528694197 Stephanie Renee Buchanan Counselor 8221 Willow Oaks Corporate Dr Ste 3-330k, Fairfax, VA 22031-4512 2020-03-16
1316579261 Mari-elaine Triolo Counselor 8221 Willow Oaks Corporate Dr Ste 401, Fairfax, VA 22031-4512 2020-02-09
1902448251 Fairfax Therapy Solutions LLC Counselor 9675 Main St Ste C, Fairfax, VA 22031-3762 2019-10-08
1790339513 Lymaraina D'souza Counselor 3931 Tallow Tree Pl, Fairfax, VA 22033-2469 2019-07-30
1336709930 Valerie Gayle Hadeed Counselor 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 2019-06-17
1487119707 Abdelwahab Eltayeb Elsirag Counselor 12587 Fair Lakes Cir Ste 303, Fairfax, VA 22033-3822 2019-02-01
1558836825 Monica Jongmin Lee Counselor 2850 Hideaway Rd, Fairfax, VA 22031-1331 2018-10-12
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Competitor

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City FAIRFAX
Zip Code 22031

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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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