Organization Active NPI

Loudoun Family & Relationship Counseling

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1194867036
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOUDOUN FAMILY & RELATIONSHIP COUNSELING
Practice address
215 Loudoun St
Leesburg, VA 20132
Phone
(703) 771-7555
Fax
(703) 771-7556
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Theresa Anna Beeton, PH.D
Title
President
Phone
(703) 771-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X VA Primary

Addresses

Primary practice location

215 Loudoun St
Leesburg, VA 20132

Mailing address

215 Loudoun St
Leesburg, VA 20132
Phone (703) 771-7555

National Provider Directory

National Provider Directory

Locations

215 Loudoun St SW
Leesburg, VA 20175
Phone (703) 771-7555

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194867036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LOUDOUN ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "703-771-7555",
            "fax_number": "703-771-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LOUDOUN ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20132",
            "telephone_number": "703-771-7555",
            "fax_number": "703-771-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN FAMILY & RELATIONSHIP COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEETON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-771-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "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 Jul 21, 2022; 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.