Active NPI
Rafee Al-Mansur, LMFT
- Marriage & Family Therapist
- MC Lean, VA
National Provider Identifier
1245804707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001814
- Practice address
- 1364 Beverly Rd Ste 303
MC Lean, VA 22101-3644 - Phone
- (703) 828-5189
- NPI assigned
- May 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001814 | VA | Primary |
Addresses
Primary practice location
1364 Beverly Rd Ste 303
MC Lean, VA 22101-3644
Mailing address
1364 Beverly Rd Ste 303
MC Lean, VA 22101-3644
Phone (703) 828-5189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717001814 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1245804707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 BEVERLY RD STE 303",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013644",
"telephone_number": "703-828-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 BEVERLY RD STE 303",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013644",
"telephone_number": "703-828-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-MANSUR",
"first_name": "RAFEE",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.