Organization Active NPI

Counseling Bliss

  • Clinical Psychologist
  • Manassas, VA
National Provider Identifier
1033570197
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003295 Issued in VA
Legal business name
COUNSELING BLISS
Practice address
9246B Mosby St
Manassas, VA 20110-5038
Phone
(571) 358-1728
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Archana Dogra, PH.D.NPI 1841461225
Title
Owner
Phone
(571) 358-1728

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810003295 VA Primary

Addresses

Primary practice location

9246B Mosby St
Manassas, VA 20110-5038

Mailing address

9246B Mosby St
Manassas, VA 20110-5038
Phone (571) 358-1728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160328000421 VA Part B Supplier - Clinic/Group Practice 1850698473 Receives reassigned benefits from 1 practitioner
Practice locations: Manassas, VA

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1033570197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9246B MOSBY ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105038",
            "telephone_number": "571-358-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9246B MOSBY ST",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105038",
            "telephone_number": "571-358-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING BLISS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "DOGRA",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-358-1728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.