THE CENTER FOR SELF-DEVELOPMENT, LLC (NPI# 1053786962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053786962 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR SELF-DEVELOPMENT, LLC |
| Practice Address |
2 Pidgeon Hill Dr Suite 450 Sterling VA 20165-6145 |
| Practice Telephone | 7034331553 |
| Practice Fax Number | 7034331558 |
| Mailing Telephone | 7034331553 |
| Mailing Fax Number | 7034331558 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | JILL ANN HAGEN, LPC (THERAPIST) |
| Authorized Official Telephone | 7034331553 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | Y |
| Parent Organization Name | THE CENTER FOR SELF-DEVELOPMENT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0701004125 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4945247 | 05 |
| Street Address |
2 PIDGEON HILL DR SUITE 450 |
| City | STERLING |
| State | VA |
| Zip Code | 20165-6145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182484 | Hope Ann Marshall | Nurse Practitioner | 2 Pidgeon Hill Dr, Ste 400, Sterling, VA 20165-6145 | 2005-08-30 |
| 1467945790 | Christopher Millikan | Physical Therapist | 2 Pidgeon Hill Dr, Sterling, VA 20165-6145 | 2018-06-12 |
| 1609250521 | Marjorie Knight | Counselor | 2 Pidgeon Hill Dr, Suite 450, Sterling, VA 20165-6145 | 2015-07-10 |
| 1831585306 | Opl Services, Inc. | In Home Supportive Care | 2 Pidgeon Hill Dr, Suite 430, Sterling, VA 20165-6145 | 2015-04-11 |
| 1174915854 | Coleman Natural Health and Wellness LLC | Internal Medicine | 2 Pidgeon Hill Dr, Suite 400, Sterling, VA 20165-6145 | 2015-03-04 |
| 1962776641 | Joshua Miles Mccreadie | Chiropractor | 2 Pidgeon Hill Dr, Suite 490, Sterling, VA 20165-6145 | 2012-02-28 |
| 1225302094 | Laurie Leigh Mowry-hesler | Marriage & Family Therapist | 2 Pidgeon Hill Dr, Suite 450, Sterling, VA 20165-6145 | 2012-02-26 |
| 1073815718 | Jill Farnsworth | Social Worker | 2 Pidgeon Hill Dr, Suite 450, Sterling, VA 20165-6145 | 2010-12-01 |
| 1053640573 | Jill Farnsworth, LLC | Social Worker | 2 Pidgeon Hill Dr, Sterling, VA 20165-6145 | 2009-12-11 |
| 1306052766 | Alternative Wellness Clinic | Chiropractor | 2 Pidgeon Hill Dr, Suite 280, Sterling, VA 20165-6145 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| 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 |
|---|---|---|---|---|
| 1376012096 | Diamond Counseling, LLC | Community/Behavioral Health | 6 Pidgeon Hill Dr Ste 250, Sterling, VA 20165-6147 | 2018-11-26 |
| 1568992683 | Hope House Serving Northeastern Colorado | Community/Behavioral Health | 915 S Division Ave, Sterling, CO 80751-4103 | 2017-06-13 |
| 1821374281 | Sterling Nursery School Inc. | Community/Behavioral Health | 123 Rowley Hill Rd, Sterling, MA 01564-2119 | 2011-10-31 |
| 1932341088 | Sunrise Recovery Center | Community/Behavioral Health | 119 Poplar St, Sterling, CO 80751-4325 | 2009-04-02 |
| 1710186846 | Sinnissippi Centers Inc. | Community/Behavioral Health | 2104 E 23rd St, Sterling, IL 61081-1608 | 2007-07-18 |
| 1922648617 | Healing Journey Therapy Services, LLC | Community/Behavioral Health | 2 Pidgeon Hill Dr Ste 450, Sterling, VA 20165-6148 | 2020-01-09 |
| 1457801748 | Sinnissippi Centers, Inc. | Community/Behavioral Health | 2611 Woodlawn Rd, Sterling, IL 61081-4151 | 2016-10-11 |
| 1225584147 | Cobalt Nature Center, Pllc. | Community/Behavioral Health | 1059 M 76, Sterling, MI 48659-9614 | 2016-08-31 |
| 1891188025 | The Key Center of Florida | Community/Behavioral Health | 21155 Whitfield Pl, Suite 206, Sterling, VA 20165 | 2015-03-12 |
| 1275940314 | Sharon L Williams | Community/Behavioral Health | 6 Pidgeon Hill Dr, Suite 200, Sterling, VA 20165-6146 | 2014-07-21 |
| Find all providers in STERLING | ||||
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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.