Organization Active NPI

Council Rock Consulting Inc.

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1194136739
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000183 Issued in VA
Legal business name
COUNCIL ROCK CONSULTING INC.
Practice address
483 N Armistead St
#103
Alexandria, VA 22312-2819
Phone
(617) 733-4972
Fax
(301) 881-7403
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Amanda S Mehlenbacher, MS BCBA
Title
Executive Director
Phone
(301) 881-7563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 0133000183 VA Primary

Addresses

Primary practice location

483 N Armistead St
#103
Alexandria, VA 22312-2819

Mailing address

11821 Parklawn Dr
Ste 210
North Bethesda, MD 20852-2539
Phone (301) 881-7563

National Provider Directory

National Provider Directory

Locations

11821 Parklawn Dr
Ste 210
North Bethesda, MD 20852
Phone (301) 881-7563

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1194136739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 PARKLAWN DR",
            "address_2": "STE 210",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208522539",
            "telephone_number": "301-881-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 N ARMISTEAD ST",
            "address_2": "#103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122819",
            "telephone_number": "617-733-4972",
            "fax_number": "301-881-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL ROCK CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "MEHLENBACHER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-881-7563",
        "authorized_official_credential": "MS BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.