HEALING HEARTS VA, LLC (NPI# 1982146262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982146262 |
Entity Type | Organization |
Organization Name | HEALING HEARTS VA, LLC |
Practice Address |
4000 Legato Rd Ste 1100 Fairfax VA 22033-2893 |
Mailing Address |
2230 George C Marshall Dr 1114 Falls Church VA 22043-2529 |
Practice Telephone | 4125089365 |
Mailing Telephone | 4125089365 |
Enumeration Date | 2016-11-17 |
Last Update Date | 2016-11-17 |
Authorized Official Name | JESSICA RIZK (LPC/OWNER) |
Authorized Official Telephone | 4125089365 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 0701006629 | VA | Agencies |
Street Address |
4000 LEGATO RD STE 1100 |
City | FAIRFAX |
State | VA |
Zip Code | 22033-2893 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740794 | Blue Star Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2020-11-03 |
1215536768 | Opdynasty Home Healthcare | Home Health | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2020-10-25 |
1942809405 | Eklyn Robert | Licensed Practical Nurse | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2020-10-25 |
1508344060 | Winslow Primary Care Alliance, LLC | Family Medicine | 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893 | 2018-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
Find all providers in zip 22033 |
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 |
1003275660 | Integrative Psychotherapy Institute | Community/Behavioral Health | 3615 Chain Bridge Rd Ste I, Fairfax, VA 22030-3237 | 2016-02-11 |
1831569896 | Northern Virginia Older Adult Counseling | Community/Behavioral Health | 4700 Banting Ct, Fairfax, VA 22032-2451 | 2015-10-03 |
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.