Janene Pack, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0165071 Issued in NM

Practice address

8500 Executive Park Ave Ste 204
Fairfax, VA 22031-2253

Phone

(505) 977-9487

NPI assigned

Dec 12, 2013

Last updated

Jul 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1336570571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10623 BATTALION LANDING CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152517",
            "telephone_number": "505-977-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 204",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312253",
            "telephone_number": "505-977-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "JANENE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0165071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozlem Goker-Alpan MD LLC
• P Jean Drew MD PLC (Woodson Family Practice)
• John H Pace, M.D.
• Alan Pachter, LCSW
• Sandra Pacios Pujado, DDS, MS, PHD
• Amber Micah Blor Padilla
• Jessica Padilla, N.P.
• Kyunglim Lainey Paek
• Innocence Apryl Page
• Lauranne Kay Page, LPC

• Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.