Blue Box Psychotherapy Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BLUE BOX PSYCHOTHERAPY INC

Practice address

2121 Eisenhower Ave Ste 300
Alexandria, VA 22314-4688

Phone

(571) 551-6839

NPI assigned

Jan 7, 2022

Organization subpart

No

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

Authorized official

Name

Asha Gray, LPCNPI 1336563527

Title

Owner

Phone

(773) 531-8390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 3

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

• Asha Gray, LPC

  • Professional Counselor
  • Alexandria, VA
  • NPI 1336563527

  DC

  Medicare reassignment NPD Authorized official
• Kay Lewis, MFT

  • Marriage & Family Therapist
  • Alexandria, VA
  • NPI 1629815022
  NPD
• Keren Alvarado, LPC-R

  • Mental Health Counselor
  • Falls Church, VA
  • NPI 1508701699

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1225799653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7982 HIDDEN BRIDGE DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221533206",
            "telephone_number": "773-531-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "571-551-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BOX PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-531-8390",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Alexandria, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.