NPIMap

Organization Active NPI

Atlantic Behavioral Health Services, LLC

  • Mental Health Counselor
  • Leesburg, VA
National Provider Identifier
1194394981
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ATLANTIC BEHAVIORAL HEALTH SERVICES, LLC
Practice address
199 Liberty St SW
Leesburg, VA 20175-2715
Phone
(703) 621-7121
NPI assigned
Jun 24, 2021
Organization subpart
Yes
Parent organization
ATLANTIC COUNSELING GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Authorized official

Name
Michael Vazzana
Title
Owner
Phone
(703) 621-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

199 Liberty St SW
Leesburg, VA 20175-2715

Mailing address

199 Liberty St SW
Leesburg, VA 20175-2715
Phone (703) 621-7121

National Provider Directory

National Provider Directory
Part of
Atlantic Counseling Group

Locations

199 Liberty St SW
Leesburg, VA 20175
Phone (703) 621-7121

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1194394981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 LIBERTY ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752715",
            "telephone_number": "703-621-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 LIBERTY ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752715",
            "telephone_number": "703-621-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC COUNSELING GROUP",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "VAZZANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-621-7121"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.