Organization Active NPI

Mental Health & Addiction Support Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1326755497
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL HEALTH & ADDICTION SUPPORT SERVICES, LLC
Practice address
43330 Junction PLZ # 164-607
Ashburn, VA 20147-3406
Phone
(703) 953-8878
NPI assigned
Oct 28, 2022
Last updated
Mar 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Alnora Brassell, NURSE PRACTITIONERNPI 1700346467
Title
Ceo
Phone
(703) 953-8878

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

43330 Junction PLZ # 164-607
Ashburn, VA 20147-3406

Mailing address

43330 Junction PLZ Ste 164-607
Ashburn, VA 20147-3406
Phone (703) 953-8878

National Provider Directory

National Provider Directory

Locations

43330 Junction Plz
#164607
Ashburn, VA 20147
Phone (703) 953-8878

43330 Junction Plz
Ste 164607
Ashburn, VA 20147

Practitioners & affiliated clinicians

Practitioners 1

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": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1326755497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ STE 164-607",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473406",
            "telephone_number": "703-953-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ # 164-607",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473406",
            "telephone_number": "703-953-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH & ADDICTION SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "BRASSELL",
        "authorized_official_first_name": "ALNORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-953-8878",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.