Organization Active NPI

Elevate a Wellness Practice LLC

  • Mental Health Counselor
  • Haymarket, VA
National Provider Identifier
1255265666
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELEVATE A WELLNESS PRACTICE LLC
Practice address
4436 Costello Way
Suite 301 a
Haymarket, VA 20169
Phone
(571) 248-1138
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Heather Baxter, LPCNPI 1669781951
Title
Owner
Phone
(870) 316-1638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4436 Costello Way
Suite 301 a
Haymarket, VA 20169

Mailing address

13221 Flynn CT
Bristow, VA 20136-1775
Phone (571) 248-1138

National Provider Directory

National Provider Directory

Locations

4436 Costello Way
Ste 301 a
Haymarket, VA 20169

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1255265666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 FLYNN CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361775",
            "telephone_number": "571-248-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 COSTELLO WAY",
            "address_2": "SUITE 301 A",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "20169",
            "telephone_number": "571-248-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE A WELLNESS PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-316-1638",
        "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": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.