Active NPI
Greater Washington Counseling and Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
National Provider Identifier
1346764669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 701006194
- Legal business name
- GREATER WASHINGTON COUNSELING AND MENTAL HEALTH
- Practice address
- 3900 University Dr Ste 320
Fairfax, VA 22030-2513 - Phone
- (301) 213-6637
- Fax
- (703) 563-9277
- NPI assigned
- Jul 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael C Lieberman, LPC
- Title
- Owner
- Phone
- (301) 213-6637
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 701006194 | VA | Primary |
| Adult Mental Health Clinic/Center | 261QM0850X | 701006194 | VA | |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 701006194 | VA |
Addresses
Primary practice location
3900 University Dr Ste 320
Fairfax, VA 22030-2513
Mailing address
9198 Silverline Dr
Fairfax Station, VA 22039-3109
Phone (301) 213-6637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 701006194 | Other | VA | LPC LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1346764669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9198 SILVERLINE DR",
"city": "FAIRFAX STATION",
"state": "VA",
"postal_code": "220393109",
"telephone_number": "301-213-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 UNIVERSITY DR STE 320",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220302513",
"telephone_number": "301-213-6637",
"fax_number": "703-563-9277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER WASHINGTON COUNSELING AND MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-28",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-213-6637",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "VA",
"license": "701006194",
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "VA",
"license": "701006194",
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "VA",
"license": "701006194",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE NUMBER",
"identifier": "701006194",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Erika Lorraine Gray
- Niya Gray, PT
- Kaitlyn Alexandra Graybill, ATC, VATL
- Great Days Home Care LLC
- Greater Expectations Consulting Firm, LLC
- Greater Washington Gastroenterology
- Greater Washington Plastic Surgery Associates, LLC
- Jennet L Grebe, LMT
- Anastasia Elizabeth Grebeck, PA-C
- Lacy Williams Grecco
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.