NORTHERN VIRGINIA OLDER ADULT COUNSELING (NPI# 1831569896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831569896 |
| Entity Type | Organization |
| Organization Name | NORTHERN VIRGINIA OLDER ADULT COUNSELING |
| Practice Address |
4700 Banting Ct Fairfax VA 22032-2451 |
| Practice Telephone | 7034240410 |
| Mailing Telephone | 7034240410 |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | SUSAN M JOHNSON (PARTNER/OPERATIONS OFFICER) |
| Authorized Official Telephone | 7034240410 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0904006279 | VA | Agencies |
| Street Address |
4700 BANTING CT |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902342 | Lorraine Marie Vrsecky | Psychologist | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2020-05-05 |
| 1801324702 | Kathryn Hornbeck | Social Worker | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2017-05-23 |
| 1225583719 | Paula Flynn | Social Worker | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2016-08-24 |
| 1710342571 | Shirley Metzger | Social Worker | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2015-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821644840 | Simply Mindful Solutions | Community/Behavioral Health | 10650 Main St Ste 101a, Fairfax, VA 22030-3814 | 2019-08-15 |
| 1265946750 | Serene Solutions Counseling & Consulting Services, LLC | Community/Behavioral Health | 10621 Jones Street, 201b, Fairfax, VA 22030 | 2017-11-20 |
| 1982146262 | Healing Hearts Va, LLC | Community/Behavioral Health | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2016-11-17 |
| 1003275660 | Integrative Psychotherapy Institute | Community/Behavioral Health | 3615 Chain Bridge Rd Ste I, Fairfax, VA 22030-3237 | 2016-02-11 |
| 1366810392 | Bellwether Behavioral of Virginia, LLC | Community/Behavioral Health | 9932 Main St, Fairfax, VA 22031-3901 | 2015-09-08 |
| 1376933028 | Virginia Clinical Therapy Center | Community/Behavioral Health | 10805 Main St Ste 800, Fairfax, VA 22030-4729 | 2015-02-03 |
| 1508149907 | A.c.e Psychological Services | Community/Behavioral Health | 11198 Lee Hwy Ste D2, Fairfax, VA 22030-5009 | 2011-09-21 |
| 1689756140 | Pathway Homes, Inc. | Community/Behavioral Health | 8411 Arlington Blvd Ste 340, Fairfax, VA 22031-4601 | 2006-10-20 |
| 1164061727 | Balanced Life Counseling LLC | Community/Behavioral Health | 3919 Old Lee Hwy Ste 82c, Fairfax, VA 22030-2430 | 2019-12-31 |
| 1811459274 | The Pragmatic Therapist | Community/Behavioral Health | 3900 University Dr Ste 320, Fairfax, VA 22030-2513 | 2019-04-04 |
| Find all providers in FAIRFAX | ||||
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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.