The Center for Connection, Healing & Change

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT000175 Issued in DC

Legal business name

THE CENTER FOR CONNECTION, HEALING & CHANGE

Practice address

12751 Marblestone Dr
Suite 200
Woodbridge, VA 22192-8335

Phone

(703) 878-3291

NPI assigned

Oct 21, 2015

Organization subpart

No

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

Authorized official

Name

Elayne Smith, LMFT

Title

Founder

Phone

(571) 408-1161

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Zaria Hardy

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1003592775
  NPD (past)
• Laura Kangelaris

  • Marriage & Family Therapist
  • Glen Allen, VA
  • NPI 1891446084
  NPD (past)
• Courtney Smith

  • Marriage & Family Therapist
  • Woodbridge, VA
  • NPI 1942682836
  NPD (past)

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1295107969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 MARBLESTONE DR",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928335",
            "telephone_number": "703-878-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 MARBLESTONE DR",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928335",
            "telephone_number": "703-878-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CONNECTION, HEALING & CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELAYNE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "571-408-1161",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "LMFT000175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.