Organization Active NPI

Waves of Courage Counseling LLC

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1376161513
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WAVES OF COURAGE COUNSELING LLC
Practice address
13132 Melville LN
Fairfax, VA 22033-3701
Phone
(877) 928-3704
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Samantha Theresa Getha, LCSW
Title
Licensed Clinical Social Worker
Phone
(571) 206-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

13132 Melville LN
Fairfax, VA 22033-3701

Mailing address

9480 Main St # 1060
Fairfax, VA 22031-4032
Phone (571) 206-8383

National Provider Directory

National Provider Directory

Locations

549 W International Airport Rd
Ste A10147
Anchorage, AK 99518

549 W Intl Airport Rd
Ste A10
Anchorage, AK 99518

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1376161513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 MAIN ST # 1060",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314032",
            "telephone_number": "571-206-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 MELVILLE LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333701",
            "telephone_number": "877-928-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF COURAGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GETHA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "571-206-8383",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 2023; 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.