Organization Active NPI

Counseling and Forensic Services, Inc.

  • Mental Health Counselor
  • Woodbridge, VA
National Provider Identifier
1346250289
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701001846 Issued in VA
Legal business name
COUNSELING AND FORENSIC SERVICES, INC.
Practice address
1308 Devils Reach Rd
Suite 300
Woodbridge, VA 22192-2806
Phone
(703) 492-2994
Fax
(703) 490-5505
NPI assigned
Aug 9, 2006
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Stephanie HardenburgNPI 1922231760
Title
President
Phone
(703) 492-2994

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 0701001846 VA Primary

Addresses

Primary practice location

1308 Devils Reach Rd
Suite 300
Woodbridge, VA 22192-2806

Mailing address

1308 Devils Reach Rd Ste 300
Woodbridge, VA 22192-2806
Phone (703) 492-2994

Other identifiers 7

IdentifierTypeStateIssuer
8621610OtherVACIGNA
4524032OtherVAAETNA
155872OtherVAMAGELLAN
236133OtherVAANTHEM
B346OtherVABLUE CROSS BLUE SHIELD
1123440OtherVACIGNA BEHAVIORAL HEALTH
A796985OtherVAVALUEOPTIONS

National Provider Directory

National Provider Directory

Locations

13000 Harbor Center Dr
Ste 300
Woodbridge, VA 22192
Phone (703) 491-5165

Practitioners & affiliated clinicians

Practitioners 4

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1346250289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 DEVILS REACH RD STE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922806",
            "telephone_number": "703-492-2994",
            "fax_number": "703-490-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 DEVILS REACH RD",
            "address_2": "SUITE 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922806",
            "telephone_number": "703-492-2994",
            "fax_number": "703-490-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND FORENSIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HARDENBURG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-492-2994",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701001846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8621610",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4524032",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "155872",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "236133",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B346",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1123440",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "A796985",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.