Active NPI
Northern VA BH LLC
- Children's Substance Abuse Rehabilitation Facility
- Chantilly, VA
National Provider Identifier
1376495069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- Legal business name
- NORTHERN VA BH LLC
- Practice address
- 4211 Walney Rd
Chantilly, VA 20151-2923 - Phone
- (615) 861-6000
- NPI assigned
- Feb 13, 2026
- 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
- Brian P. Farley
- Title
- Vice President & Secretary
- Phone
- (615) 838-8331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | Primary |
Addresses
Primary practice location
4211 Walney Rd
Chantilly, VA 20151-2923
Mailing address
4211 Walney Rd
Chantilly, VA 20151-2923
Other names 1
- Northern Virginia Adolescent Treatment Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2338919 | Northern Virginia Adolescent Treatment Center | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
4211 Walney Rd
Chantilly, VA 20151
Phone (703) 227-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1376495069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 WALNEY RD",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 WALNEY RD",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512923",
"telephone_number": "615-861-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN VA BH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-13",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
"authorized_official_telephone_number": "615-838-8331"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern Virginia Adolescent Treatment Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.