NPIMap

Organization Active NPI

Center for Pastoral Counseling of Virginia

  • Pastoral Counselor
  • McLean, VA
National Provider Identifier
1104328335
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
CENTER FOR PASTORAL COUNSELING OF VIRGINIA
Practice address
1716 Chain Bridge Rd
MC Lean, VA 22101-4322
Phone
(703) 903-9696
NPI assigned
Mar 4, 2018
Last updated
Mar 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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

Authorized official

Name
Gary L McMichael, LCSW
Title
Council Chair
Phone
(703) 903-9696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Pastoral Counselor 101YP1600X NU Primary

Addresses

Primary practice location

1716 Chain Bridge Rd
MC Lean, VA 22101-4322

Mailing address

PO Box QQ
MC Lean, VA 22101-0700
Phone (703) 903-9696

National Provider Directory

National Provider Directory

Locations

1716 Chain BRG Rd
MC Lean, VA 22101
Phone 7039039696 ext. 244

Practitioners & affiliated clinicians

Practitioners 9

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": "1520121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520121600000",
    "number": "1104328335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX QQ",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010700",
            "telephone_number": "703-903-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014322",
            "telephone_number": "703-903-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PASTORAL COUNSELING OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-04",
        "last_updated": "2018-03-04",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COUNCIL CHAIR",
        "authorized_official_telephone_number": "703-903-9696",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.