NPIMap

Organization Active NPI

Washington Mindcare Institute

  • Counselor
  • Fairfax, VA
National Provider Identifier
1326618778
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WASHINGTON MINDCARE INSTITUTE
Practice address
10560 Main St Ste 508
Fairfax, VA 22030-7173
Phone
(571) 277-9515
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Dr. Eunhee SongNPI 1356911705
Title
Executive Director
Phone
(703) 277-9515

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

10560 Main St Ste 508
Fairfax, VA 22030-7173

Mailing address

10560 Main St Ste 508
Fairfax, VA 22030-7173
Phone (571) 277-9515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1326618778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 508",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307173",
            "telephone_number": "571-277-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 508",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307173",
            "telephone_number": "571-277-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON MINDCARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "EUNHEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-277-9515",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "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 Jun 28, 2021; 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.