NPIMap

Organization Active NPI

Active and Connected Counseling

  • Mental Health Counselor
  • Arlington, VA
National Provider Identifier
1326825258
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ACTIVE AND CONNECTED COUNSELING
Practice address
4910 31St St S Ste a
Arlington, VA 22206-1669
Phone
(434) 202-4080
Fax
(844) 705-0170
NPI assigned
Sep 13, 2023
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Dr. Amanda Sovik-JohnstonNPI 1144634312
Title
Owner
Phone
(434) 202-4080

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4910 31St St S Ste a
Arlington, VA 22206-1669

Mailing address

4910 31St St S Ste a
Arlington, VA 22206-1669
Phone (434) 202-4080

National Provider Directory

National Provider Directory

Locations

4910 31st St S
Ste A
Arlington, VA 22206
Phone (703) 578-3825

Practitioners & affiliated clinicians

Practitioners 11

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": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1326825258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 31ST ST S STE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061669",
            "telephone_number": "434-202-4080",
            "fax_number": "844-705-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 31ST ST S STE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061669",
            "telephone_number": "434-202-4080",
            "fax_number": "844-705-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE AND CONNECTED COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "SOVIK-JOHNSTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-202-4080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.