EMERGING FOR CHANGE (NPI# 1902412695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902412695 |
| Entity Type | Organization |
| Organization Name | EMERGING FOR CHANGE |
| Practice Address |
11350 Random Hills Rd Ste 800 Fairfax VA 22030-6044 |
| Mailing Address |
108 N Gordon St Alexandria VA 22304-2406 |
| Practice Telephone | 7033507752 |
| Mailing Telephone | 7033507752 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | ERICKA FRIZELL CHANDLER (OWNER) |
| Authorized Official Telephone | 7033507752 |
| Authorized Official Credential | LPC |
| 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 |
| Street Address |
11350 RANDOM HILLS RD STE 800 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469974 | Lifeline Psychotherapy Services | Counselor | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2017-10-24 |
| 1568096493 | Seniors Home Assistance, LLC | Case Management | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2020-03-01 |
| 1992355689 | Mindful Psychological Health, Pllc | Psychologist | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2019-09-16 |
| 1639671472 | Gifted Touch Homehealth | Home Health | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| 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 |
|---|---|---|---|---|
| 1437798329 | Healing and Change Psychotherapy, LLC | Clinic/Center | 3950 Chain Bridge Rd Ste 5, Fairfax, VA 22030-3936 | 2019-12-25 |
| 1851503361 | Anger & Stress Management Center, Inc. | Clinic/Center | 10375b Democracy Lane, Fairfax, VA 22030 | 2007-05-04 |
| 1174147920 | Transition Family Services | Clinic/Center | 3923 Old Lee Hwy Ste 63d, Fairfax, VA 22030-2428 | 2020-06-07 |
| 1295214112 | Restore Counseling, LLC | Clinic/Center | 10301 Democracy Ln Ste 275, Fairfax, VA 22030-2525 | 2018-08-10 |
| 1376918318 | Wellness Program, LLC | Clinic/Center | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2015-12-02 |
| 1558764134 | Neuropsych Wellness Center | Clinic/Center | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2014-09-26 |
| 1649541855 | Well Marriage Center, LLC | Clinic/Center | 3917 Old Lee Hwy, 11-d, Fairfax, VA 22030-2431 | 2012-01-19 |
| 1316111255 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2008-04-22 |
| 1538183173 | Fairfax Medical Facilities Inc | Clinic/Center | 212 N Main St, Fairfax, OK 74637-3023 | 2006-07-27 |
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| 1063030849 | Inspiring Change, LLC | Clinic/Center | 74 S Boxwood St, Hampton, VA 23669-3267 | 2020-07-08 |
| 1356967103 | Complete Whole & Compassionate Care Cwc | Clinic/Center | 1700 Huguenot Rd Ste 2b, Midlothian, VA 23113-2397 | 2020-06-17 |
| 1609490960 | Breakforth Counseling and Consulting LLC | Clinic/Center | 3959 Electric Rd Ste 425, Roanoke, VA 24018-4563 | 2020-06-02 |
| 1861013583 | Spora Medical, PC. | Clinic/Center | 10 Darby Ln, Palmyra, VA 22963-3043 | 2020-05-05 |
| 1295356533 | Monarch Journey Counseling LLC | Clinic/Center | 14125 James Madison Hwy, Orange, VA 22960-2819 | 2020-04-28 |
| 1154941789 | Rocktown Counseling LLC | Clinic/Center | 333 Windermere Dr, Broadway, VA 22815-9489 | 2020-04-23 |
| 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.