Lifeline Psychotherapy Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717000800 Issued in VA

Legal business name

LIFELINE PSYCHOTHERAPY SERVICES

Practice address

11350 Random Hills Rd Ste 800
Fairfax, VA 22030-6044

Phone

(703) 409-6258

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hoang Oanh Rodgers, LMFT, LPCNPI 1790960680

Title

Owner

Phone

(703) 409-6258

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hoang Oanh Leote Rodgers, LPC, LMFT,CSAC

  • Professional Counselor
  • Fredericksburg, VA
  • NPI 1790960680
  NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1417469974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12646 HERON RIDGE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306638",
            "telephone_number": "703-409-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 RANDOM HILLS RD STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306044",
            "telephone_number": "703-409-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "HOANG OANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-409-6258",
        "authorized_official_credential": "LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000893",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002418",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lifepro Solutions LLC
• Lifespan Counseling Services, LLC
• Lifespeed Medical, LLC
• Dianne Victoria Liga, RPA-C
• Lightmicron Diagnostics, LLC

• Marriage & Family Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.