MIND PERCEPTION THERAPY (NPI# 1649886151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649886151 |
| Entity Type | Organization |
| Organization Name | MIND PERCEPTION THERAPY |
| Practice Address |
4736 Grand Masters Way Woodbridge VA 22192-5553 |
| Practice Telephone | 9795749568 |
| Mailing Telephone | 9795749568 |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-09-20 |
| Authorized Official Name | MRS. MISTY MELISSA BRADY-LEE (OWNER) |
| Authorized Official Telephone | 9795749568 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
4736 GRAND MASTERS WAY |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992234298 | Misty Melissa Brady-lee | Counselor | 4736 Grand Masters Way, Woodbridge, VA 22192 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940617 | Tamara La Shaun Carter | Counselor | 13000 Harbor Center Dr Ste 362, Woodbridge, VA 22192-2846 | 2020-04-14 |
| 1528604600 | Ni Hsieh | Counselor | 4000 Genesee Pl Ste 101, Woodbridge, VA 22192-8302 | 2019-11-22 |
| 1609425529 | Juanita Patricia Stokes | Counselor | 14999 Birchdale Ave, Woodbridge, VA 22193-1317 | 2019-09-04 |
| 1255983987 | Arthur Daniel Square Jr. | Counselor | 14000 Crown Ct Ste 101, Woodbridge, VA 22193-1461 | 2019-07-12 |
| 1770046849 | Najah Dail | Counselor | 15200 Leicestershire St Unit 356, Woodbridge, VA 22191-5929 | 2019-04-07 |
| 1790246973 | Ginger Lane Hall | Counselor | 12741 Darby Brook Ct, Woodbridge, VA 22192-2406 | 2019-03-28 |
| 1336604768 | Yaoying Qu | Counselor | 13135 Hillendale Dr, Woodbridge, VA 22193-5131 | 2019-02-11 |
| 1598231482 | Denere Postell | Counselor | 843 Rahway Ave Fl 2, Woodbridge, NJ 07095-3648 | 2018-10-17 |
| 1750882411 | Kaitlyn Ann Appel | Counselor | 1308 Devils Reach Rd Ste 300, Woodbridge, VA 22192-2806 | 2018-02-27 |
| 1144741984 | Kimberly Ann Milam | Counselor | 2200 Opitz Blvd Ste 340, Woodbridge, VA 22191-3339 | 2017-07-01 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on MIND PERCEPTION THERAPY.
| 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.