1861571507 NPI number — THE FAMILY CENTER COUNSELING ASSOCIATES PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861571507 NPI number — THE FAMILY CENTER COUNSELING ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE FAMILY CENTER COUNSELING ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861571507
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5691 COLUMBIA PIKE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
FALLS CHURCH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22041
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-998-5606
Provider Business Mailing Address Fax Number:
703-998-5608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5691 COLUMBIA PIKE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
FALLS CHURCH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-998-5606
Provider Business Practice Location Address Fax Number:
703-998-5608
Provider Enumeration Date:
11/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DIERKER
Authorized Official First Name:
GLORY
Authorized Official Middle Name:
FOX
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
703-998-5606

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  07010001557 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 0701003275 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810002996 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810003091 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810003059 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810003411 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810003272 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810003575 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 0810003667 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 0717000025 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 0701001168 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 149749000 . This is a "DEPARTMENT OF LABOR GLORY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28110014 . This is a "CAREFIRST FRAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28110003 . This is a "CAREFIRST MARJORIE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 141701 . This is a "ANTHEM BCBS GLORY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 149749000 . This is a "DEPARTMENT OF LABOR FRAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28110019 . This is a "CAREFIRST ERIKA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 461335000 . This is a "MAGELLAN GLORY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 775900000 . This is a "MAGELLAN RICH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 097480 . This is a "ANTHEM BCBS MARJORIE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28110004 . This is a "CAREFIRST GLORY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 254707000 . This is a "MAGELLAN MARJORIE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 764249000 . This is a "MAGELLAN FAMILY CENTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 554781000 . This is a "MAGELLAN FRAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 818692000 . This is a "MAGELLAN ERIKA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 175319 . This is a "ANTHEM BCBS GUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28110017 . This is a "CAREFIRST RICH" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com