Organization Active NPI

Greater Washington Counseling and Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
National Provider Identifier
1346764669
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
701006194 Issued in VA
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
701006194OtherVALPC LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.