Theresa M. Shaltanis, M.A., LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002445 Issued in VA

Practice address

10379B Democracy LN
Fairfax, VA 22030-2505

Phone

(703) 591-2551

Fax

(703) 591-2563

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Synergy Counseling, LLC

  • Marriage & Family Therapist
  • Fairfax, VA
  • NPI 1336613439
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023170180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10379B DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302505",
            "telephone_number": "703-591-2551",
            "fax_number": "703-591-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10379B DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302505",
            "telephone_number": "703-591-2551",
            "fax_number": "703-591-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALTANIS",
        "first_name": "THERESA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000629",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijal Shah, O.D.
• Syed T Shahab, M.D.
• Tamara Shaheer
• Moazma Shahid, NP
• Mehrine Shaikh, M.D.
• Whitney Hodges Shanley
• Nomi Shaool, M.D.
• Alan D Shapiro, MD
• Stephen R Shapiro, M.D.
• Sharif Smiles PLLC

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.