Grace Korean Church

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRACE KOREAN CHURCH

Practice address

10560 Main St Ste 207
Fairfax, VA 22030-7176

Phone

(202) 295-7069

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Takhyun Cho, PHD, LPC, NCCNPI 1164990974

Title

Director of Counseling

Phone

(202) 295-7069

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.

• Takhyun Cho, LPC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1164990974
  NPD Authorized official
• Tae Ju Oh

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1326712340
  NPD (past)
• Eunhee Song, QMHP-C

  • Counselor
  • Fairfax, VA
  • NPI 1356911705
  NPD (past)

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1326644584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307176",
            "telephone_number": "202-295-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST STE 207",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307176",
            "telephone_number": "202-295-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE KOREAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "TAKHYUN",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "202-295-7069",
        "authorized_official_credential": "PHD, LPC, NCC"
    },
    "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": []
}

• Murliya D Gowda, M.D.
• Anjali Goyal, MD
• Shaveta Goyal, M.D.
• Sydnee Goyer, MD
• Grace Home Healthcare, LLC
• Brianna Grady
• Christopher Kevin Grady, MD
• Malgorzata Gradzka, M.D.
• Sarah Gragan
• Ruth Elizabeth Graham

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.