Organization Active NPI

Salus Vita

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, VA
National Provider Identifier
1275054033
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0904009738 Issued in VA
Legal business name
SALUS VITA
Practice address
505 Wythe St
Alexandria, VA 22314-1917
Phone
(703) 828-7159
NPI assigned
Jul 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Ms. Gloria Saez, LICSW/ LCSWNPI 1689127524
Title
Ceo/ Lead Therapist
Phone
(703) 828-7159

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X 0904009738 VA Primary

Addresses

Primary practice location

505 Wythe St
Alexandria, VA 22314-1917

Mailing address

505 Wythe St
Alexandria, VA 22314-1917
Phone (703) 828-7159

National Provider Directory

National Provider Directory

Locations

505 Wythe St
Alexandria, VA 22314
Phone (703) 828-7159

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": "1498953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1275054033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WYTHE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141917",
            "telephone_number": "703-828-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WYTHE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141917",
            "telephone_number": "703-828-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUS VITA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-02",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "SAEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO/ LEAD THERAPIST",
        "authorized_official_telephone_number": "703-828-7159",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW/ LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0904009738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.