Enabling Change Rebuilding Communities Each Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ENABLING CHANGE REBUILDING COMMUNITIES EACH COUNSELING SERVICES

Practice address

10640 Main St.
Suite 105
Fairfax, VA 22030

Phone

(804) 742-2858

Fax

(240) 414-0800

NPI assigned

May 28, 2018

Last updated

Apr 7, 2021By 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

Ms. Erica E. Noble

Title

Ceo

Phone

(443) 219-6682

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1134610991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GRAND BLVD APT 1306",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207742646",
            "telephone_number": "443-219-6682",
            "fax_number": "240-414-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 MAIN ST.",
            "address_2": "SUITE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "804-742-2858",
            "fax_number": "240-414-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLING CHANGE REBUILDING COMMUNITIES EACH COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-28",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-219-6682",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empire Home Health Services LLC
• Empower Chiropractic LLC
• Empower Hand Therapy and Rehabilitation LLC
• Empower Support Services
• Empowering Voices ABA LLC
• Benjamin Isaac Enav, M.D.
• Samim Enayat, MD
• Carson Scott Endorf, DPT
• Enene Group LLP
• Jane Delia Engelken, LPC, LSATP

• Addiction (Substance Use Disorder) Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.