GREATER WASHINGTON COUNSELING AND MENTAL HEALTH (NPI# 1346764669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346764669 |
| Entity Type | Organization |
| Organization Name | GREATER WASHINGTON COUNSELING AND MENTAL HEALTH |
| Practice Address |
3900 University Dr Ste 320 Fairfax VA 22030-2513 |
| Mailing Address |
9198 Silverline Dr Fairfax Station VA 22039-3109 |
| Practice Telephone | 3012136637 |
| Practice Fax Number | 7035639277 |
| Mailing Telephone | 3012136637 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. MICHAEL C LIEBERMAN (OWNER) |
| Authorized Official Telephone | 3012136637 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
701006194 | VA | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
701006194 | VA | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
701006194 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LPC LICENSE NUMBER | 701006194 | 01 |
| Street Address |
3900 UNIVERSITY DR STE 320 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459274 | The Pragmatic Therapist | Community/Behavioral Health | 3900 University Dr Ste 320, Fairfax, VA 22030-2513 | 2019-04-04 |
| 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 |
| 1902412695 | Emerging for Change | Clinic/Center | 11350 Random Hills Rd Ste 800, Fairfax, VA 22030-6044 | 2020-09-18 |
| 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 |
| 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.