Organization Active NPI

Arlington County Government Department of Managment & Finance

  • Community/Behavioral Health Agency
  • Arlington, VA
National Provider Identifier
1043280415
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ARLINGTON COUNTY GOVERNMENT DEPARTMENT OF MANAGMENT & FINANCE
Practice address
2120 Washington Blvd
Arlington, VA 22204-5718
Phone
(703) 228-1600
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Mr. Corey Travis
Title
Bureau Chief
Phone
(703) 228-1600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Case Management Agency 251B00000X 112 VA
Developmentally Disabled Services Day Training Agency 251C00000X 112 VA
Public Health or Welfare Agency 251K00000X 112 VA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2120 Washington Blvd
Arlington, VA 22204-5718

Mailing address

2100 Washington Blvd
4TH Floor
Arlington, VA 22204-5703
Phone (703) 228-1613

Other practice location 1

2100 Washington Blvd
Arlington, VA 22204-5703
Phone (703) 228-1600

Other identifiers 3

IdentifierTypeStateIssuer
004975706MedicaidVA
004945042MedicaidVA
004975278MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000703 DC Part B Supplier - Clinic/Group Practice 7214928803 Receives reassigned benefits from 73 practitioners
1 other NPI on this enrollment
Practice locations: Arlington, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arlington County Government Department of Managment Finance12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 Washington Blvd
Fl 4
Arlington, VA 22204
Phone (703) 228-1600

Practitioners & affiliated clinicians

Practitioners 108

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

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1043280415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD",
            "address_2": "4TH FLOOR",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045703",
            "telephone_number": "703-228-1613",
            "fax_number": "703-228-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 WASHINGTON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045718",
            "telephone_number": "703-228-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222045703",
            "country_code": "US",
            "telephone_number": "703-228-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARLINGTON COUNTY GOVERNMENT DEPARTMENT OF MANAGMENT & FINANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "BUREAU CHIEF",
        "authorized_official_telephone_number": "703-228-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": "112",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "112",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": "112",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975706",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945042",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975278",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.