Active NPI
The Wellness Connection
- Mental Health Counselor
- Stone Ridge, VA
National Provider Identifier
1487906467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE WELLNESS CONNECTION
- Practice address
- 24600 Millstream Dr
Stone Ridge, VA 20105-5685 - Phone
- (703) 327-0335
- NPI assigned
- Oct 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan McCormick
- Title
- Owner
- Phone
- (703) 327-0335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
24600 Millstream Dr
Stone Ridge, VA 20105-5685
Mailing address
24600 Millstream Dr
Stone Ridge, VA 20105-5685
Phone (703) 327-0335
National Provider Directory
National Provider DirectoryLocations
24600 Millstream Dr
Stone Ridge, VA 20105
Phone (703) 327-0335
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Chantilly, VA
- NPI 1174545578
-
- Psychiatry Physician
- Roanoke, VA
- NPI 1609492594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350259200000",
"number": "1487906467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24600 MILLSTREAM DR",
"city": "STONE RIDGE",
"state": "VA",
"postal_code": "201055685",
"telephone_number": "703-327-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24600 MILLSTREAM DR",
"city": "STONE RIDGE",
"state": "VA",
"postal_code": "201055685",
"telephone_number": "703-327-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELLNESS CONNECTION",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-327-0335",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Ridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.