Organization Active NPI

Without Walls Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, VA
National Provider Identifier
1104471846
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WITHOUT WALLS COUNSELING CENTER
Practice address
2121 Eisenhower Ave Ste 301
Alexandria, VA 22314-4688
Phone
(202) 657-1500
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Chantay White-
Title
Owner
Phone
(253) 576-8514

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2121 Eisenhower Ave Ste 301
Alexandria, VA 22314-4688

Mailing address

316 Lismore Dr
Fort Washington, MD 20744-6512

Other practice location 1

316 Lismore Dr
Fort Washington, MD 20744-6512
Phone (202) 657-1500

National Provider Directory

National Provider Directory
Tax ID family
Without Walls Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 Eisenhower Ave
Ste 301
Alexandria, VA 22314
Phone (202) 657-1500

105 Oronoco St
Ste 310
Alexandria, VA 22314

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1104471846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 LISMORE DR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "202-657-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Lismore Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207446512",
            "country_code": "US",
            "telephone_number": "202-657-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WITHOUT WALLS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "WHITE-",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-576-8514"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.