Active NPI
Enlightenment Therapy Services
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1396320818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ENLIGHTENMENT THERAPY SERVICES
- Practice address
- 10474 Armstrong St Ste 207
Fairfax, VA 22030-3648 - Phone
- (703) 595-2776
- NPI assigned
- Mar 16, 2021
- 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
- Sandhya Sharma, LPC
- Title
- Licensed Professional Counselor
- Phone
- (703) 595-2776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10474 Armstrong St Ste 207
Fairfax, VA 22030-3648
Mailing address
10474 Armstrong St Ste 207
Fairfax, VA 22030-3648
Phone (703) 595-2776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PRC14895 | Other | DC | LICENSE PROFESSIONAL COUNSELOR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.enlightenmenttherapyservices.com | Direct |
National Provider Directory
National Provider DirectoryLocations
10474 Armstrong St
Ste 207
Fairfax, VA 22030
Phone (703) 595-2776
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Austin, TX
- NPI 1164882122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615852800000",
"number": "1396320818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10474 ARMSTRONG ST STE 207",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303648",
"telephone_number": "703-595-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10474 ARMSTRONG ST STE 207",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303648",
"telephone_number": "703-595-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHTENMENT THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "SANDHYA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "703-595-2776",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE PROFESSIONAL COUNSELOR",
"identifier": "PRC14895",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.enlightenmenttherapyservices.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "10474 Armstrong St Ste 207",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220303648",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.