Open Hearts Christian Counseling

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

OPEN HEARTS CHRISTIAN COUNSELING

Practice address

2530 Carriage LN Apt 1D
Fredericksburg, VA 22401-7925

Phone

(703) 593-1061

NPI assigned

Oct 2, 2020

Organization subpart

No

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

Authorized official

Name

Brandon Christopher Fitzgerald-Holley, BE.D,MDIV,MPA, DAS

Title

Director

Phone

(804) 482-6503

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1215534284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CARRIAGE LN APT 1D",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017925",
            "telephone_number": "703-593-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CARRIAGE LN APT 1D",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224017925",
            "telephone_number": "703-593-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEARTS CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD-HOLLEY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-482-6503",
        "authorized_official_credential": "BE.D,MDIV,MPA, DAS"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ceo@justiceandreform.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2530 Carriage Ln Apt 1D",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224017925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.