Organization Active NPI

Autism Rising Collective LLC

  • Mental Health Counselor
  • Fairfax, VA
National Provider Identifier
1164313920
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AUTISM RISING COLLECTIVE LLC
Practice address
10640 Page Ave Ste 440
Fairfax, VA 22030-4000
Phone
(571) 663-3008
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mr. Huseyn Pasha
Title
Owner
Phone
(571) 663-3008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
VA Clinic/Center 261QV0200X

Addresses

Primary practice location

10640 Page Ave Ste 440
Fairfax, VA 22030-4000

Mailing address

10640 Page Ave Ste 440
Fairfax, VA 22030-4000
Phone (571) 663-3008

National Provider Directory

National Provider Directory

Locations

10640 Page Ave
Ste 440
Fairfax, VA 22030
Phone (571) 595-9771

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1164313920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 440",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304000",
            "telephone_number": "571-663-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 440",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304000",
            "telephone_number": "571-663-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM RISING COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "PASHA",
        "authorized_official_first_name": "HUSEYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-663-3008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.