Walston Health Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0024173415 Issued in VA

Legal business name

WALSTON HEALTH SERVICES LLC

Practice address

6164 Fuller CT
Alexandria, VA 22310-2540

Phone

(703) 924-9810

Fax

(703) 924-7044

NPI assigned

Jul 5, 2016

Organization subpart

No

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

Authorized official

Name

Tonya L WalstonNPI 1265894745

Title

Owner

Phone

(703) 924-9810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 4

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

• Tonya L Walston, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1265894745

  DC

  Medicare reassignment Authorized official
• Charla Jeanine White

  • Clinical Psychologist
  • Manassas, VA
  • NPI 1063489862

  DC

  Medicare reassignment NPD
• Kimmala Shetef Roundtree, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1205210788

  DC

  Medicare reassignment
• Nora M Vassar, LCSW

  • Clinical Social Worker
  • Charlotte Court House, VA
  • NPI 1548504467

  DC

  Medicare reassignment

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1023460912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102540",
            "telephone_number": "703-924-9810",
            "fax_number": "703-924-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6164 FULLER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102540",
            "telephone_number": "703-924-9810",
            "fax_number": "703-924-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALSTON HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WALSTON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-924-9810"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0024173415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Landes Wallin, CRNP
• Kayley Brianne Walling
• Jennifer M Walsh, RN CPNP
• Jolene Walsh, PT, MPT
• Sean Walsh, PH.D.
• Tonya L Walston, DNP
• Tisha Linn Walter, CPNP
• Walters Burns, M.D., P.C.
• Linda T Walters, NP
• Jasmine Denise Walton Norwood

• Mental Health Clinic/Center (Including Community Mental Health Center) in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.