NPIMap

Organization Active NPI

Soulstice Counseling and Development, LLC

Doing business as SOULSTICE Clinical Counseling & Professional Development

  • Clinical Social Worker
  • Stafford, VA
National Provider Identifier
1003534041
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOULSTICE COUNSELING AND DEVELOPMENT, LLC
Doing business as
SOULSTICE Clinical Counseling & Professional Development
Practice address
300 Garrisonville Rd Ste 302
Stafford, VA 22554-8903
NPI assigned
Aug 16, 2022
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Tanika Alexander, LCSWNPI 1346372570
Title
Owner/Director
Phone
(540) 300-1189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X

Addresses

Primary practice location

300 Garrisonville Rd Ste 302
Stafford, VA 22554-8903

Mailing address

300 Garrisonville Rd
Suite 302
Stafford, VA 22554-8903
Phone (540) 300-1189

Other practice location 1

300 Garrisonville Rd Ste 302
Stafford, VA 22554-8903

Other practice location 2

300 Garrisonville Rd Ste 302
Stafford, VA 22554-8903

Other practice location 3

300 Garrisonville Rd Ste 302
Stafford, VA 22554-8903

Other practice location 4

300 Garrisonville Road
Suite 302
Stafford, VA 22554
Phone (540) 300-1189

Other names 1

  • SOULSTICE Clinical Counseling & Professional Development Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1003534041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARRISONVILLE RD",
            "address_2": "SUITE 302",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548903",
            "telephone_number": "540-300-1189",
            "fax_number": "540-657-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARRISONVILLE RD STE 302",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Garrisonville Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548903",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Garrisonville Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548903",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Garrisonville Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548903",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Garrisonville Road",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "22554",
            "country_code": "US",
            "telephone_number": "540-300-1189",
            "fax_number": "540-657-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOULSTICE COUNSELING AND DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "540-300-1189",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOULSTICE Clinical Counseling & Professional Development",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOULSTICE Clinical Counseling & Professional Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.