Inspired Courage Counseling and Consultation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INSPIRED COURAGE COUNSELING AND CONSULTATION

Practice address

10560 Main St Unit 120
Fairfax, VA 22030-7182

Phone

(571) 732-1122

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Alexis Melville, PSY.D

Title

Ceo

Phone

(571) 732-1122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1124587613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 MAJESTIC LN UNIT 315",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST UNIT 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "571-732-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED COURAGE COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MELVILLE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-732-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.