Fidelis Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701006683 Issued in VA

Legal business name

FIDELIS THERAPY, LLC

Practice address

2555 Chain Bridge Rd
Vienna, VA 22181-5517

Phone

(703) 474-6427

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor Vincent, EDD, LPC, CSACNPI 1568904373

Title

Ceo/Therapist

Phone

(703) 474-6427

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eleanor Vincent, EDD, LPC, CSAC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1568904373
  NPD (past) Authorized official

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1295252146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD FL 8",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "702-474-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CHAIN BRIDGE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815517",
            "telephone_number": "703-474-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELIS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "703-474-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701006683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seddigheh A Feisee, MD
• Kavitha Felix - Johnson, RD, CDE
• Joy F Fellman, FNP
• Dineth Ferdinando
• Naomi Ferdoushi
• Monica R Fine
• First Gen Docs LLC
• Brian Fitzgerald, D.C.
• Five Mountains LLC
• Michelle Flanagan Moore

• Community/Behavioral Health Agency in Vienna, VA
• Providers in Vienna, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.