NPIMap

Organization Active NPI

Centrepointe Counseling, Inc.

  • Pastoral Counselor
  • Herndon, VA
National Provider Identifier
1356883045
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
CENTREPOINTE COUNSELING, INC.
Practice address
681 Elden St
Herndon, VA 20170-4722
Phone
(800) 491-5369
Fax
(301) 774-3678
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Matthew Raeder, LCSW-C
Title
Clinical Director
Phone
(800) 491-5369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X Primary

Addresses

Primary practice location

681 Elden St
Herndon, VA 20170-4722

Mailing address

PO Box 339
Ashton, MD 20861-0339
Phone (800) 491-5369

Other identifiers 1

IdentifierTypeStateIssuer
414259400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Centrepointe Counseling Inc31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

681 Elden St
Herndon, VA 20170
Phone (571) 833-0329

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1356883045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610339",
            "telephone_number": "800-491-5369",
            "fax_number": "301-774-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 ELDEN ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704722",
            "telephone_number": "800-491-5369",
            "fax_number": "301-774-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREPOINTE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "RAEDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "800-491-5369",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414259400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.