Active NPI
Integrative Psychotherapy Institute
- Community/Behavioral Health Agency
- Fairfax, VA
National Provider Identifier
1003275660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LGPC00042
- Legal business name
- INTEGRATIVE PSYCHOTHERAPY INSTITUTE
- Practice address
- 3615 Chain Bridge Rd Ste I
Fairfax, VA 22030-3237 - Phone
- (703) 385-9667
- NPI assigned
- Feb 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jan Bearegard, PHD
- Title
- Director
- Phone
- (703) 244-6298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LGPC00042 | DC | Primary |
Addresses
Primary practice location
3615 Chain Bridge Rd Ste I
Fairfax, VA 22030-3237
Mailing address
3615 Chain Bridge Rd Ste I
Fairfax, VA 22030-3237
Phone (703) 385-9667
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Fairfax, VA
- NPI 1205054871
-
- Professional Counselor
- Fairfax, VA
- NPI 1679736342
-
- Counselor
- Fairfax, VA
- NPI 1164694600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455148800000",
"number": "1003275660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 CHAIN BRIDGE RD STE I",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303237",
"telephone_number": "703-385-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 CHAIN BRIDGE RD STE I",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303237",
"telephone_number": "703-385-9667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE PSYCHOTHERAPY INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A",
"authorized_official_last_name": "BEAREGARD",
"authorized_official_first_name": "JAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-244-6298",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "DC",
"license": "LGPC00042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Insight Health Corp (Rayus Radiology)
- Insight Memory Care Center
- Inspired Courage Counseling and Consultation
- Integrated Dermatology of Fairfax, LLC
- Integrated Wellness & Weightloss Center LLC
- Internal Medicine of Fair Oaks, LLC
- Intuitive Insight, Inc. (Intuitive Neuropsychiatry)
- Christine Joan Ioli
- Maggie Lynn Ipsaro, PA-C
- Iqgenetix LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.