NPIMap

Organization Active NPI

Safe Harbor Behavioral Care of Northern Virginia LLC

  • Professional Counselor
  • Alexandria, VA
National Provider Identifier
1043660905
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SAFE HARBOR BEHAVIORAL CARE OF NORTHERN VIRGINIA LLC
Practice address
6408 Grovedale Dr Ste 200
Alexandria, VA 22310-2596
Phone
(410) 893-4600
Fax
(443) 640-4358
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Jeffrey Crosson
Title
Regional Director
Phone
(410) 893-4600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

6408 Grovedale Dr Ste 200
Alexandria, VA 22310-2596

Mailing address

547 Twin Lakes LN
Bumpass, VA 23024-4671
Phone (410) 893-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161219001684 DC Part B Supplier - Clinic/Group Practice 0446531040 Receives reassigned benefits from 8 practitioners
Practice locations: Springfield, VA; Burke, VA; Alexandria, VA; Arlington, VA

National Provider Directory

National Provider Directory

Locations

1451 Belle Haven Rd
Ste 420
Alexandria, VA 22307

110 N Royal St
Ste 300
Alexandria, VA 22314

1451 Belle Haven Rd
Ste 230
Alexandria, VA 22307
Phone (206) 947-3083

5401 7th Rd S
Arlington, VA 22204

3020 N Pershing Dr
Arlington, VA 22201

9800 Old Keene Mill Rd
Burke, VA 22015

2430 Gum Rd
Chesapeake, VA 23321

6427 Franconia Rd
Springfield, VA 22150
Phone (571) 234-1851

8841 Richmond Rd W
Toano, VA 23168

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1043660905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 TWIN LAKES LN",
            "city": "BUMPASS",
            "state": "VA",
            "postal_code": "230244671",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 GROVEDALE DR STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102596",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR BEHAVIORAL CARE OF NORTHERN VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CROSSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "410-893-4600"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.