Raft Health Virginia LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RAFT HEALTH VIRGINIA LLC

Doing business as

Ellie Mental Health - Alexandria

Practice address

400 N Columbus St Ste 201
Alexandria, VA 22314-2264

Phone

(202) 441-4228

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Siu-Lin Ting Robinson, LMSWNPI 1316744964

Title

Chief Executive Officer

Phone

(202) 441-4228

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health - Alexandria Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 3

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

• Siu-Lin Ting Robinson

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1316744964

  DC

  Medicare reassignment NPD Authorized official
• Matthew Brooks, REGISTERED ART THERA

  • Professional Counselor
  • Ashburn, VA
  • NPI 1265015200
  NPD (past)
• Alexandra Rose Dwight, LPC

  • Professional Counselor
  • Alexandria, VA
  • NPI 1023703931
  NPD (past)

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1285335208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2826 OLIVE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073327",
            "telephone_number": "202-441-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N COLUMBUS ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142264",
            "telephone_number": "202-441-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFT HEALTH VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SIU-LIN",
        "authorized_official_middle_name": "TING",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "202-441-4228",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - Alexandria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rae Counseling LLC
• Elizabeth Rae, LPC
• Madeline Rafaelano Rivas, DPT
• Zohra Rafiq
• Saima Rafique, M.D.
• Raft Mental Health Agency
• Mariam Ragheb, PHARMD
• Kimberly S. Ragin, LCSW
• Marguerite M Ragone, NP
• Pouria Seyed Rahini-Madjzoub, DDS

• Mental Health Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.