NPIMap

Organization Active NPI

Prince William Family Counseling, P.C.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Manassas, VA
National Provider Identifier
1316024425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
364SP0809X Issued in VA
Legal business name
PRINCE WILLIAM FAMILY COUNSELING, P.C.
Practice address
9625 Surveyor CT
Manassas, VA 20110-4422
Phone
(703) 330-9933
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Aida Faline Johnson, A.P.R.N., B.CNPI 1255496808
Title
Licensed Clinical Nurse Specialist
Phone
(703) 330-9933

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
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0809X 364SP0809X VA Primary

Addresses

Primary practice location

9625 Surveyor CT
Manassas, VA 20110-4422

Mailing address

9625 Surveyor CT
Manassas, VA 20110-4422
Phone (703) 330-9933

National Provider Directory

National Provider Directory
Tax ID family
Prince Wiliam Family Counseling PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9625 Surveyor Ct
Manassas, VA 20110
Phone (703) 330-9933

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316024425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104422",
            "telephone_number": "703-330-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104422",
            "telephone_number": "703-330-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE WILLIAM FAMILY COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "FALINE",
        "authorized_official_title_or_position": "LICENSED CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "703-330-9933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.P.R.N., B.C"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "VA",
            "license": "364SP0809X",
            "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 Aug 22, 2020; 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.