Organization Active NPI

Virginia Substance Treatment Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Vienna, VA
National Provider Identifier
1477232189
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
VIRGINIA SUBSTANCE TREATMENT SERVICES
Practice address
1880 Howard Ave Ste 200
Vienna, VA 22182-2611
Phone
(571) 354-5971
NPI assigned
Jul 12, 2023
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Samar Lida Tehrani, LSATPNPI 1871939413
Title
Ceo
Phone
(571) 354-5971

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1880 Howard Ave Ste 200
Vienna, VA 22182-2611

Mailing address

2070 Chain Bridge Rd Ste 150
Vienna, VA 22182-2598
Phone (571) 354-5971

National Provider Directory

National Provider Directory

Locations

1880 Howard Ave
Ste 200
Vienna, VA 22182
Phone (571) 354-5971

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1477232189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 CHAIN BRIDGE RD STE 150",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822598",
            "telephone_number": "571-354-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 HOWARD AVE STE 200",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822611",
            "telephone_number": "571-354-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA SUBSTANCE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "SAMAR",
        "authorized_official_middle_name": "LIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-354-5971",
        "authorized_official_credential": "LSATP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.