Active NPI
Prosperity Eating Disorder and Wellness
- Counselor
- Herndon, VA
National Provider Identifier
1073048302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- PROSPERITY EATING DISORDER AND WELLNESS
- Practice address
- 1031 Sterling Rd Ste 203
Herndon, VA 20170-3873 - Phone
- (703) 446-5150
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 2017
- Organization subpart
- Yes
- Parent organization
- PROSPERITY EATING DISORDER AND WELLNESS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Baker, LCSW
- Title
- Owner
- Phone
- (800) 863-7224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1031 Sterling Rd Ste 203
Herndon, VA 20170-3873
Mailing address
1031 Sterling Rd Ste 203
Herndon, VA 20170-3873
Phone (703) 446-5150
National Provider Directory
National Provider Directory- Tax ID family
- Prosperity Eating Disorder and Wellness
- Part of
- Prosperity Eating Disorder and Wellness
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Reston, VA
- NPI 1043613474
-
dba Prosperity/Norfolk
- Adolescent and Children Mental Health Clinic/Center
- Norfolk, VA
- NPI 1225709413
-
- Clinic/Center
- Charlottesville, VA
- NPI 1396193157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1073048302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 STERLING RD STE 203",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703873",
"telephone_number": "703-446-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 STERLING RD STE 203",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703873",
"telephone_number": "703-446-5150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERITY EATING DISORDER AND WELLNESS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROSPERITY EATING DISORDER AND WELLNESS",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-863-7224",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
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- Donald Tyler Pubins
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- Melissa Marie Purvis
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.