Virginia Home Based Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

507 Issued in VA

Legal business name

VIRGINIA HOME BASED COUNSELING

Practice address

8140 Ashton Ave
Suite 200
Manassas, VA 20109-2894

Phone

(703) 367-7800

Fax

(703) 368-8454

NPI assigned

Jul 7, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Henry Thomas Koch III, PH.D.NPI 1487679585

Title

President/Director

Phone

(703) 795-5918

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Henry Thomas Koch III, PH.D.

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1487679585
  Authorized official Same address or phone

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1124050513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092894",
            "telephone_number": "703-367-7800",
            "fax_number": "703-368-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092894",
            "telephone_number": "703-367-7800",
            "fax_number": "703-368-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA HOME BASED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "703-795-5918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.