Organization Active NPI

Pineridge Counseling Center

  • Professional Counselor
  • Fairfax, VA
National Provider Identifier
1285963454
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PINERIDGE COUNSELING CENTER
Practice address
9477 Silver King CT
Fairfax, VA 22031-4723
Phone
(703) 849-8414
Fax
(703) 359-8330
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Ms. Sharon Strawt Thomas, LPCNPI 1588757801
Title
Vice President
Phone
(703) 849-8414

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

9477 Silver King CT
Fairfax, VA 22031-4723

Mailing address

9477 Silver King CT
Fairfax, VA 22031-4723
Phone (703) 849-8414

National Provider Directory

National Provider Directory

Locations

9685 Main St
Ste D
Fairfax, VA 22031
Phone (703) 425-5200

9477 Silver King Ct
Fairfax, VA 22031
Phone (703) 849-8414

Practitioners & affiliated clinicians

Practitioners 2

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": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1285963454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9477 SILVER KING CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314723",
            "telephone_number": "703-849-8414",
            "fax_number": "703-359-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9477 SILVER KING CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314723",
            "telephone_number": "703-849-8414",
            "fax_number": "703-359-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINERIDGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "STRAWT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-849-8414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.