Vick Johns Counseling and Consulting

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0904005349 Issued in VA

Legal business name

VICK JOHNS COUNSELING AND CONSULTING

Practice address

17521 Tripoli Blvd
Dumfries, VA 22026-2239

Phone

(703) 441-8000

Fax

(703) 441-1400

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Nathaniel Johnson Jr., MBA

Title

Deputy Director

Phone

(571) 383-6008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1447745641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16354 RUSTY RUDDER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916357",
            "telephone_number": "703-680-0124",
            "fax_number": "703-441-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 TRIPOLI BLVD",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220262239",
            "telephone_number": "703-441-8000",
            "fax_number": "703-441-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICK JOHNS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "571-383-6008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0904005349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.