Bluebirds Counselling and Recovery Solutions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUEBIRDS COUNSELLING AND RECOVERY SOLUTIONS LLC

Practice address

12504 Lake Ridge Dr Ste B
Woodbridge, VA 22192-2393

Phone

(703) 232-0033

Fax

(866) 820-4144

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By 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

Leila Kandahari, LCSWNPI 1720548738

Title

Owner

Phone

(703) 232-0033

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Leila Kandahari, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1720548738
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1164247953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 LAKE RIDGE DR STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922393",
            "telephone_number": "703-232-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12504 LAKE RIDGE DR STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922393",
            "telephone_number": "703-232-0033",
            "fax_number": "866-820-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRDS COUNSELLING AND RECOVERY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "KANDAHARI",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-232-0033",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Support Professionals, Inc
• Blessfull Homecare LLC
• Blissful Years Group Home LLC
• Blooming Ride Inc
• Blossom Smile of Woodbridge PLLC
• Bluepeak Holdings LLC
• Sakina Faheemah Blunt, LPC
• BMH PT P.C. (BMH Physical Therapy)
• Bnafsh Inc
• Gifty Boadu

• Clinical Social Worker in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.