NPIMap

Organization Active NPI

Lasting Serenity Telepsychiatry Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Manassas, VA
National Provider Identifier
1285396366
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LASTING SERENITY TELEPSYCHIATRY INC
Practice address
8665 Sudley Rd # 228
Manassas, VA 20110-4588
Phone
(571) 308-8243
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Lartoniah Hassan, PMHNPNPI 1790150258
Title
President
Phone
(301) 792-9477

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8665 Sudley Rd # 228
Manassas, VA 20110-4588

Mailing address

8665 Sudley Rd # 228
Manassas, VA 20110-4588
Phone (571) 308-8243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130001057 VA Part B Supplier - Clinic/Group Practice 3274923644 Receives reassigned benefits from 4 practitioners
Practice locations: Manassas, VA

National Provider Directory

National Provider Directory

Locations

8665 Sudley Rd
Manassas, VA 20110
Phone (571) 308-8243

Practitioners & affiliated clinicians

Practitioners 4

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": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1285396366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8665 SUDLEY RD # 228",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104588",
            "telephone_number": "571-308-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8665 SUDLEY RD # 228",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104588",
            "telephone_number": "571-308-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASTING SERENITY TELEPSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "LARTONIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-792-9477",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.