JANICE PETTY (NPI# 1477909455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477909455 |
| Entity Type | Individual |
| Full Name | JANICE PETTY |
| Credential | LPC, LSATP |
| Practice Address |
4660 Kenmore Ave Ste 701 Alexandria VA 22304-1306 |
| Practice Telephone | 5713540338 |
| Practice Fax Number | 5713862663 |
| Mailing Telephone | 5713540338 |
| Mailing Fax Number | 5713862663 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0718000324 | VA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
071010213 | VA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006463 | VA | Behavioral Health & Social Service Providers |
| Street Address |
4660 KENMORE AVE STE 701 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176774 | Insightful Counseling LLC | Clinic/Center | 4660 Kenmore Ave Ste 701, Alexandria, VA 22304-1306 | 2020-05-20 |
| 1245850510 | Selah Solutions, LLC | Counselor | 4660 Kenmore Ave Ste 701, Alexandria, VA 22304-1306 | 2020-04-16 |
| 1952849010 | Edwin George Sharp | Psychologist | 4660 Kenmore Ave Ste 701, Alexandria, VA 22304-1306 | 2017-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1396358974 | Brittany Aponte | Counselor | 625 E Monroe Ave Apt 214, Alexandria, VA 22301-3024 | 2020-08-25 |
| 1245859719 | Boyd Grady Scoggins | Counselor | 323 Valley Dr N, Alexandria, AL 36250-6230 | 2020-04-14 |
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1578108221 | Amber Michelle Johnson | Counselor | 4207 Parliament Dr Ste B, Alexandria, LA 71303-2720 | 2019-11-15 |
| 1891336574 | Ashley N Maharaj | Counselor | 750 Port St Apt 1228, Alexandria, VA 22314-2496 | 2019-10-03 |
| 1144871435 | Sherri Brothers | Counselor | 6598 Kelsey Point Cir, Alexandria, VA 22315-5524 | 2019-09-27 |
| 1972153989 | Andrea Zalzal Sanderson | Counselor | 1707 Belle View Blvd Apt A2, Alexandria, VA 22307-6727 | 2019-09-12 |
| 1063976868 | Heather Michelle Castro | Counselor | 708 Pendleton St Fl 1, Alexandria, VA 22314-1819 | 2019-01-25 |
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
Please comment or provide details below to improve the information on JANICE PETTY.
| 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.