NPIMap

Organization Active NPI

Solacium Holdings, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vienna, VA
National Provider Identifier
1306449970
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOLACIUM HOLDINGS, LLC
Practice address
1934 Old Gallows Rd Ste 210
Vienna, VA 22182-4042
Phone
(302) 383-0287
NPI assigned
Nov 17, 2020
Organization subpart
Yes
Parent organization
SOLACIUM HOLDING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Sharnell Spencer
Title
Credentialing Manager
Phone
(661) 239-6923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1934 Old Gallows Rd Ste 210
Vienna, VA 22182-4042

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Phone (661) 622-4132

Other names 1

  • Embark at Tyson's Corner Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2249200Solacium Holdings LLC-1934 Old Gallows Road Suite 210, Vienna, VA 22182Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Solacium Holding LLC13 organizations share this tax ID, including this one
Part of
Solacium Holding LLC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1934 Old Gallows Rd
Ste 210
Vienna, VA 22182
Phone (571) 587-3301

Practitioners & affiliated clinicians

Practitioners 3

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1306449970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MING AVE STE 410",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094631",
            "telephone_number": "661-622-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 OLD GALLOWS RD STE 210",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221824042",
            "telephone_number": "302-383-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACIUM HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLACIUM HOLDING LLC",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SHARNELL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "661-239-6923"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embark at Tyson's Corner",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Embark at Tyson's Corner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.