JAMES WADELL BRUNSON JR. (NPI# 1801383617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801383617 |
| Entity Type | Individual |
| Full Name | JAMES WADELL BRUNSON JR. |
| Practice Address |
2740 Prosperity Ave Ste 200 Fairfax VA 22031-4354 |
| Mailing Address |
5021 Seminary Rd Apt 1220 Alexandria VA 22311-1938 |
| Practice Telephone | 7033212639 |
| Mailing Telephone | 7049570034 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760764047 | James Glen Brunson | Psychologist | 800 Dollins St, Wilburton, OK 74578-3204 | 2011-09-13 |
| 1689642514 | James H Brunson Jr. | Family Medicine | 1170 Boulevard St, Orangeburg, SC 29115-4359 | 2006-03-08 |
| Street Address |
2740 PROSPERITY AVE STE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801845284 | Yasser Hadj Ousman | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2006-05-10 |
| 1801449657 | Katherine Kline | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2019-07-22 |
| 1336642180 | Nina Mesadieu | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2018-03-16 |
| 1871004952 | Jekaterina Tolstenko | Nurse Practitioner | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2017-10-17 |
| 1306222120 | Emily Viall | Registered Nurse | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2015-08-04 |
| 1255738076 | Prosperity Rx Fairfax Inc | Pharmacy | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-11-21 |
| 1366844185 | Sarah Kelly | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2014-09-24 |
| 1164733879 | Sarah Penland | Social Worker | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-06-28 |
| 1184954539 | Laura Leigh Wolok | Dietitian, Registered | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 | 2010-01-07 |
| 1952563785 | Shwetha Thukuntla | Internal Medicine | 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932752219 | Tamika M Archer | Counselor | 10621 Jones St Ste 201b, Fairfax, VA 22030-7511 | 2019-07-16 |
| 1912404757 | Conversations Fairfax Counseling Center, LLC | Counselor | 9900 Main St Ste 201, Fairfax, VA 22031-3907 | 2018-04-09 |
| 1275923484 | Jonathan Murdaugh | Counselor | 1040 Tinker Town Rd, Fairfax, SC 29827-7220 | 2015-01-26 |
| 1063757706 | Michael Louis Searby | Counselor | 10370 Democracy Ln, Fairfax, VA 22030-2522 | 2012-12-06 |
| 1841556420 | Phyllis Q. Robinson | Counselor | 3919 Old Lee Hwy, Suite 83 A, Fairfax, VA 22030-2430 | 2012-04-08 |
| 1164694600 | Ruthann Eileen Long-farias | Counselor | 3615 Chain Bridge Road, Unit I, Fairfax, VA 22030 | 2008-03-25 |
| 1487839262 | Reem Koinis | Counselor | 11309 Bulova Ln, Fairfax, VA 22030-5509 | 2007-12-30 |
| 1588873103 | Sarah Livingston Healy | Counselor | 51 Bothin Rd # A, Fairfax, CA 94930-1445 | 2007-05-21 |
| 1255490439 | Nida M Ittayem | Counselor | 3118 Savoy Dr, Fairfax, VA 22031-1019 | 2006-12-06 |
| 1992812630 | Pamela Kaye Munson | Counselor | 66354 440th St, Fairfax, MN 55332-3017 | 2006-08-25 |
| 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.