Virginia Support Services, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

726 Issued in VA

Legal business name

VIRGINIA SUPPORT SERVICES, P.C.

Practice address

8140 Ashton Ave
Suite 200
Manassas, VA 20109-2894

Phone

(703) 367-7800

Fax

(703) 368-8454

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry Thomas Koch III, PH.D.

Title

President/Director

Phone

(703) 367-7800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1275565673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092894",
            "telephone_number": "703-367-7800",
            "fax_number": "703-368-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092894",
            "telephone_number": "703-367-7800",
            "fax_number": "703-368-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SUPPORT SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "703-367-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.