Banyan Counseling Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002248 Issued in VA

Legal business name

BANYAN COUNSELING CENTER, INC.

Practice address

2820 School St
Alexandria, VA 22303-2443

Phone

(703) 717-0999

Fax

(703) 717-0999

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Martha Louise Harris, LCSW

Title

President

Phone

(703) 717-0999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437356979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SCHOOL ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032443",
            "telephone_number": "703-717-0999",
            "fax_number": "703-717-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 SCHOOL ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223032443",
            "telephone_number": "703-717-0999",
            "fax_number": "703-717-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-717-0999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Banker, FNP
• Jaelynn Banks
• Robert Banks
• Maureen Theresa Banta, MD
• Nettia Banton
• Karissa Barachie, DNP, NP
• Lesley Barajas
• Francisco Javier Baralt Miro
• Henry C Barbot, M.D.
• Lydia Barbour

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.