Active NPI
Imaginative Therapies LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Leesburg, VA
National Provider Identifier
1063364602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- IMAGINATIVE THERAPIES LLC
- Practice address
- 837 Sawback SQ NE
Leesburg, VA 20176-4130 - Phone
- (240) 772-1527
- NPI assigned
- Feb 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jade Marie Vega
- Title
- President / Ceo
- Phone
- (301) 508-0414
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
837 Sawback SQ NE
Leesburg, VA 20176-4130
Mailing address
837 Sawback SQ NE
Leesburg, VA 20176-4130
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Walkersville, MD
- NPI 1235883570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1063364602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 SAWBACK SQ NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 SAWBACK SQ NE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764130",
"telephone_number": "240-772-1527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGINATIVE THERAPIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "VEGA",
"authorized_official_first_name": "JADE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "301-508-0414"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.