Organization Active NPI

Healing and Change Psychotherapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
National Provider Identifier
1437798329
Registry record updated Dec 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALING AND CHANGE PSYCHOTHERAPY, LLC
Practice address
3950 Chain Bridge Rd Ste 5
Fairfax, VA 22030-3936
Phone
(303) 717-9517
NPI assigned
Dec 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2019

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

Authorized official

Name
Tamar Ares, MA, LPCNPI 1205239118
Title
Licensed Professional Counselor
Phone
(303) 717-9517

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3950 Chain Bridge Rd Ste 5
Fairfax, VA 22030-3936

Mailing address

7849 Glenister Dr
Springfield, VA 22152-2007
Phone (303) 717-9517

National Provider Directory

National Provider Directory

Locations

3950 Chain Bridge Rd
Ste 5
Fairfax, VA 22030
Phone (303) 717-9517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577232000000",
    "number": "1437798329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7849 GLENISTER DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522007",
            "telephone_number": "303-717-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 CHAIN BRIDGE RD STE 5",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303936",
            "telephone_number": "303-717-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING AND CHANGE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A",
        "authorized_official_last_name": "ARES",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "303-717-9517",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 25, 2019; 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.