NPIMap

Organization Active NPI

Oasis Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chantilly, VA
National Provider Identifier
1093406712
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OASIS MENTAL HEALTH SERVICES LLC
Practice address
42114 Barrymoore PL
Chantilly, VA 20152-6443
Phone
(703) 722-4828
NPI assigned
May 15, 2023
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dr. Henry Peters
Title
Director of Operations
Phone
(703) 722-4828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

42114 Barrymoore PL
Chantilly, VA 20152-6443

Mailing address

42114 Barrymoore PL
Chantilly, VA 20152-6443
Phone (571) 355-3161

Other practice location 1

6710A Rockledge Dr Ste 400
Bethesda, MD 20817-2847
Phone (703) 722-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230804002014 VA Part B Supplier - Clinic/Group Practice 3173984218 Receives reassigned benefits from 9 practitioners
Practice locations: Chantilly, VA
O20240418003585 DC Part B Supplier - Clinic/Group Practice 3173984218 Receives reassigned benefits from 7 practitioners
Practice locations: Bethesda, MD
O20260403001107 TN Part B Supplier - Clinic/Group Practice 3173984218 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

159 4th Ave N
Ste 100
Nashville, TN 37219
Phone (615) 306-3895

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1093406712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42114 BARRYMOORE PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526443",
            "telephone_number": "571-355-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42114 BARRYMOORE PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526443",
            "telephone_number": "703-722-4828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6710A Rockledge Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208172847",
            "country_code": "US",
            "telephone_number": "703-722-4828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OASIS MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR  OF OPERATIONS",
        "authorized_official_telephone_number": "703-722-4828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.