PIMMIT COUNSELING & WELLNESS CLINIC PLLC (NPI# 1407346695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407346695 |
| Entity Type | Organization |
| Organization Name | PIMMIT COUNSELING & WELLNESS CLINIC PLLC |
| Other Organization Name | PIMMIT COUNSELING & WELLNESS CLINIC ABA PROGRAM |
| Practice Address |
2235 Cedar Ln Ste 102 Vienna VA 22182-5247 |
| Practice Telephone | 7035564888 |
| Mailing Telephone | 7035564888 |
| Mailing Fax Number | 7035567774 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | DR. SHAHRZAD N/A POORSHAGHAGHI (DIRECTOR) |
| Authorized Official Telephone | 7035564888 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5411165 | 05 |
| Other Name | Type Code |
|---|---|
| Hope Trans-cultural clinical services | Doing Business As Name - Organization |
| Pimmit Counseling & Wellness Clinic ABA Program | Other Name - Individual/Organization |
| Pimmit Counseling Hope TCS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508107681 | Pimmit Counseling & Wellness Clinic Pllc | Counselor | 2235 Cedar Ln Ste 102, Vienna, VA 22182 | 2013-03-14 |
| 1740386762 | Pimmit Counseling & Wellness Clinic Pllc | Counselor | 2235 Cedar Ln Ste 102, Vienna, VA 22182-5247 | 2006-09-16 |
| Street Address |
2235 CEDAR LN STE 102 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437171337 | Shahrzad Poorshaghaghi | Counselor | 2235 Cedar Ln Ste 102, Vienna, VA 22182-5247 | 2006-07-23 |
| 1023585940 | Kimberly Munzinger | Behavioral Analyst | 2235 Cedar Ln Ste 102, Vienna, VA 22182-5247 | 2018-10-29 |
| 1508107681 | Pimmit Counseling & Wellness Clinic Pllc | Counselor | 2235 Cedar Ln Ste 102, Vienna, VA 22182 | 2013-03-14 |
| 1740386762 | Pimmit Counseling & Wellness Clinic Pllc | Counselor | 2235 Cedar Ln Ste 102, Vienna, VA 22182-5247 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528215290 | Family Counseling Center, Inc. | Clinic/Center | 406 East Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1295367753 | Family Counseling Center of Greater Washington | Clinic/Center | 1952 Gallows Rd Ste 210, Vienna, VA 22182-3823 | 2020-02-12 |
| 1649838285 | Grace Nova Counseling | Clinic/Center | 8227 Old Courthouse Rd Ste 215, Vienna, VA 22182-3815 | 2019-05-29 |
| 1528388501 | Patricia Velkoff, Ph.d., P.C. | Clinic/Center | 243 Church St Nw, Suite 300-a, Vienna, VA 22180-4434 | 2010-06-01 |
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| 1609490960 | Breakforth Counseling and Consulting LLC | Clinic/Center | 3959 Electric Rd Ste 425, Roanoke, VA 24018-4563 | 2020-06-02 |
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| 1295356533 | Monarch Journey Counseling LLC | Clinic/Center | 14125 James Madison Hwy, Orange, VA 22960-2819 | 2020-04-28 |
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| Find all providers with the same taxonomy | ||||
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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.