NPIMap

Organization Active NPI

Viking Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Manassas, VA
National Provider Identifier
1144608142
Registry record updated May 11, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15L20280 Issued in VA
Legal business name
VIKING BEHAVIORAL SERVICES LLC
Practice address
10168 Portsmouth Rd
Apt #6
Manassas, VA 20109-8047
Phone
(303) 875-5869
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Craig Viking Gross, B.S.W.,PBSF
Title
Director of Consultation Services
Phone
(303) 875-5869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15L20280 VA Primary

Addresses

Primary practice location

10168 Portsmouth Rd
Apt #6
Manassas, VA 20109-8047

Mailing address

PO Box 3074
Manassas, VA 20108-0918
Phone (303) 875-5869

Other names 1

  • Viking Behavioral Services LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1144608142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3074",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201080918",
            "telephone_number": "303-875-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10168 PORTSMOUTH RD",
            "address_2": "APT #6",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201098047",
            "telephone_number": "303-875-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKING BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "VIKING",
        "authorized_official_title_or_position": "DIRECTOR OF CONSULTATION SERVICES",
        "authorized_official_telephone_number": "303-875-5869",
        "authorized_official_credential": "B.S.W.,PBSF"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "15L20280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viking Behavioral Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2015; 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.