Organization Active NPI

Magnolia Healing Hears Counseling Center LLC

  • Mental Health Counselor
  • Manassas, VA
National Provider Identifier
1124624739
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAGNOLIA HEALING HEARS COUNSELING CENTER LLC
Practice address
6259 Terrapin Dr
Manassas, VA 20112-3806
Phone
(757) 286-8555
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Elizabeth Salazar, LMHC
Title
Owner
Phone
(757) 286-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6259 Terrapin Dr
Manassas, VA 20112-3806

Mailing address

6259 Terrapin Dr
Manassas, VA 20112-3806
Phone (757) 286-8555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Davia@hpcbilling.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: davia@hpcbilling.com

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1124624739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 TERRAPIN DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123806",
            "telephone_number": "757-286-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 TERRAPIN DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123806",
            "telephone_number": "757-286-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALING HEARS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-286-8555",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Davia@hpcbilling.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lizsalazar20@gmail.com",
            "address_1": "6259 Terrapin Dr",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201123806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.