Organization Active NPI

Zion Restoration Counseling Services

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1003334210
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1701006505 Issued in VA
Legal business name
ZION RESTORATION COUNSELING SERVICES
Practice address
5999 Stevenson Ave
Alexandria, VA 22304-3304
Phone
(571) 989-2729
Fax
(571) 989-2729
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carmen J. Riley, LPCNPI 1740489137
Title
Licensed Professional Counselor
Phone
(571) 989-2729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 1701006505 VA Primary

Addresses

Primary practice location

5999 Stevenson Ave
Alexandria, VA 22304-3304

Mailing address

15915 Canada Goose Loop
Woodbridge, VA 22191-5562
Phone (202) 255-7490

National Provider Directory

National Provider Directory

Locations

5999 Stevenson Ave
Alexandria, VA 22304
Phone (571) 265-5355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1003334210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15915 CANADA GOOSE LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915562",
            "telephone_number": "12022557490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 STEVENSON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043304",
            "telephone_number": "571-989-2729",
            "fax_number": "571-989-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZION RESTORATION COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "571-989-2729",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "1701006505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.