Rosa Roshdieh Fakhrai, MENTAL HEALTH COUNSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10864 Issued in MD

Practice address

849 Quince Orchard Blvd Ste I
Gaithersburg, MD 20878-1684

Phone

(240) 731-5065

NPI assigned

Jun 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1063142255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD STE I",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 QUINCE ORCHARD BLVD STE I",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781684",
            "telephone_number": "240-731-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRAI",
        "first_name": "ROSA",
        "middle_name": "ROSHDIEH",
        "credential": "MENTAL HEALTH COUNSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Dava Fabrizio, LCSW-C
• Stephany Fagundes Justiniano
• Lauren Faherty, LMSW
• Danielle Fair
• Piper Fair
• Oreoluwa Falodun
• Family Back & Neck Care Center, Inc
• Family Care Associates
• Family Care Associates
• Family Care Associates

• Mental Health Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.