Fairfax County, Virginia

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAIRFAX COUNTY, VIRGINIA

Doing business as

Fairfax-Falls Church Community Services Board

Practice address

12011 Government Center Parkway
Suite 836
Fairfax, VA 22035

Phone

(703) 324-7000

Fax

(703) 653-6626

NPI assigned

Jul 11, 2006

Last updated

Mar 17, 2026By 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

Barbara Wadley-Young

Title

Acting Executive Director

Phone

(703) 324-4431

Specialties & licenses 2

Addresses

Other identifiers 8

Other names 1

• Fairfax-Falls Church Community Services Board Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Director of Finance-County of Fairfax VA

  dba Fairfax County Fire & Rescue Department

  • Ambulance
  • Fairfax, VA
  • NPI 1376575134

  9739136847

  Same PAC ID

Locations (25 of 63)

Practitioners 538

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.

• Chinyere Frances Abati-Sobulo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfax, VA
  • NPI 1932999802

  DC

  Medicare reassignment Care Compare group NPD
• Felicia Aboagye, LNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfax, VA
  • NPI 1003450412

  DC

  Medicare reassignment Care Compare group NPD
• Sia Acquah, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1174408454

  DC

  Medicare reassignment Care Compare group NPD
• Folasade Majestice Adebayo, LPC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1386488435

  DC

  Medicare reassignment Care Compare group NPD
• Katherine Altamirano, LCSW

  • Clinical Social Worker
  • Reston, VA
  • NPI 1346042009

  DC

  Medicare reassignment Care Compare group NPD
• Melanie Averion, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1538850474

  DC

  Medicare reassignment Care Compare group NPD
• Leshara Bakare, LPC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1598531956

  DC

  Medicare reassignment Care Compare group NPD
• Monika Beasley, LPC

  • Professional Counselor
  • Reston, VA
  • NPI 1659779098

  DC

  Medicare reassignment Care Compare group NPD
• Bethelhem Bekele, RN, BSN, MSN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, VA
  • NPI 1457950610

  DC

  Medicare reassignment Care Compare group NPD
• Rosemary Bell

  • Professional Counselor
  • Fairfax, VA
  • NPI 1386363356

  DC

  Medicare reassignment Care Compare group NPD
• Laura Bennecoff, LCSW

  • Clinical Social Worker
  • Reston, VA
  • NPI 1033975644

  DC

  Medicare reassignment Care Compare group NPD
• Steven Michael Black, LPC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1891086195

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1154356244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 GOVERNMENT CENTER PKWY STE 836",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220351100",
            "telephone_number": "703-324-7000",
            "fax_number": "703-653-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 GOVERNMENT CENTER PARKWAY",
            "address_2": "SUITE 836",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22035",
            "telephone_number": "703-324-7000",
            "fax_number": "703-653-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX COUNTY, VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "WADLEY-YOUNG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ACTING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-324-4431"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "113",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "222044",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008743126",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "MHSS",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010200229",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945107",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010200181",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010200270",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS NCA",
            "identifier": "5700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax-Falls Church Community Services Board",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfax-Falls Church Community Services Board",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairfax Colon & Rectal Surgery Center, LLC
• Fairfax Colon & Rectal Surgery, PC
• Fairfax Convenient Care LLC
• Fairfax Counseling Services, LLC
• Fairfax County Public School
• Fairfax County, Virginia (Fairfax Falls Church Community Services Board - DD Services)
• Fairfax Dental Center
• Fairfax Dental Esthetics
• Fairfax Dental Partners, PC (Nova Dental Partners)
• Fairfax Dentistry, PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.