STELLA BRIZUELA-MORENO DBA INTERNATIONAL CONSULTING CENTER (NPI# 1558542928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558542928 |
| Entity Type | Organization |
| Organization Name | STELLA BRIZUELA-MORENO DBA INTERNATIONAL CONSULTING CENTER |
| Other Organization Name | INTERNATIONAL CONSULTING CENTER |
| Practice Address |
8300 Boone Blvd Suite 500 Vienna VA 22182-2626 |
| Practice Telephone | 7032551600 |
| Practice Fax Number | 7036527641 |
| Mailing Telephone | 7032551600 |
| Mailing Fax Number | 7036527641 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2011-07-26 |
| Authorized Official Name | DR. STELLA BRIZUELA-MORENO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7032551600 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
0718000189 | VA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 0717000665 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PRC 312 | DC | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| International Consulting Center | Other Name - Individual/Organization |
| Street Address |
8300 BOONE BLVD SUITE 500 |
| City | VIENNA |
| State | VA |
| Zip Code | 22182-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245366772 | Ominis Integrative Counseling & Wellness Center | Counselor | 8300 Boone Blvd, Suite 507, Vienna, VA 22182-2626 | 2007-02-26 |
| 1396212254 | Kanbaragha Dds Pllc | Dentist | 8300 Boone Blvd, Suite 140, Vienna, VA 22182 | 2018-10-30 |
| 1891209144 | Berta I Denmark | Registered Nurse | 8300 Boone Blvd, Vienna, VA 22182-2626 | 2017-11-23 |
| 1053753640 | Patty's Home Care | Home Health | 8300 Boone Blvd, Suite 500, Vienna, VA 22182-2626 | 2013-07-23 |
| 1699012161 | Neurosleep Medical Consulting Services Plc | Psychiatry & Neurology | 8300 Boone Blvd, Suite 130, Vienna, VA 22182-2626 | 2013-01-03 |
| 1972881647 | Regent Healthcare LLC | Home Health | 8300 Boone Blvd, Ste 546, Vienna, VA 22182-2626 | 2011-07-29 |
| 1588965214 | Monarch Dentistry | Dentist | 8300 Boone Blvd, Suite 140, Vienna, VA 22182-2626 | 2010-11-11 |
| 1568654093 | Trinity Hospice of Virginia, LLC | Hospice Care, Community Based | 8300 Boone Blvd, Suite 850, Vienna, VA 22182-2626 | 2007-08-17 |
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437642527 | Lauren Beam Ottenhoff | Psychologist | 133 Park St Ne Ste 3b, Vienna, VA 22180-4666 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922342 | Ashli Gregory | Psychologist | 10059 Craftons Gate Hwy, Drakes Branch, VA 23937-2647 | 2020-11-04 |
| 1750980421 | Chad Olle | Psychologist | 1020 N Highland St Unit 817, Arlington, VA 22201-2187 | 2020-10-22 |
| 1205447935 | Annalucia Bays | Psychologist | 6005 Fox Den, Williamsburg, VA 23188-7363 | 2020-08-15 |
| 1295356681 | Lina Liw | Psychologist | 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030-2432 | 2020-04-27 |
| 1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
| 1467003715 | Kelly Deneen Heinzman | Psychologist | 1101 Wilson Blvd, Arlington, VA 22209-2211 | 2019-09-26 |
| 1740742345 | James Partch Jr. | Psychologist | 705 Donnington Dr, Chesapeake, VA 23322-7715 | 2019-04-02 |
| 1710491923 | Saman Berenji | Psychologist | 15 Priscilla Rd, Unit 3, Boston, VA 02135-2019 | 2017-11-27 |
| 1770016461 | Three Leaves Psychological Services LLC | Psychologist | 11307 Sunset Hills Rd, B-4, Reston, VA 20190-5278 | 2017-04-10 |
| 1306243373 | Samira Joron-badr | Psychologist | 307 Yoakum Pkwy Apt 1708, Alexandria, VA 22304-4044 | 2014-11-19 |
| 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.