Organization Active NPI

Ominis Integrative Counseling & Wellness Center

  • Professional Counselor
  • Vienna, VA
National Provider Identifier
1245366772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004003 Issued in VA
Legal business name
OMINIS INTEGRATIVE COUNSELING & WELLNESS CENTER
Practice address
8300 Boone Blvd
Suite 507
Vienna, VA 22182-2626
Phone
(877) 766-4647
Fax
(866) 441-1136
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Graciela L. Bilis
Title
Principal
Phone
(877) 766-4647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004003 VA Primary

Addresses

Primary practice location

8300 Boone Blvd
Suite 507
Vienna, VA 22182-2626

Mailing address

3661 Camelback Dr
Mount Airy, MD 21771-8074
Phone (877) 766-4647

National Provider Directory

National Provider Directory

Locations

8300 Boone Blvd
Ste 507
Vienna, VA 22182
Phone (877) 766-4647

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245366772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 CAMELBACK DR",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217718074",
            "telephone_number": "877-766-4647",
            "fax_number": "866-441-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 BOONE BLVD",
            "address_2": "SUITE 507",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822626",
            "telephone_number": "877-766-4647",
            "fax_number": "866-441-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMINIS INTEGRATIVE COUNSELING & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BILIS",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "877-766-4647"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.