Therapeutic Alliance LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701004701 Issued in VA

Legal business name

THERAPEUTIC ALLIANCE LLC

Practice address

7771 Ashton Ave
Manassas, VA 20109-2879

Phone

(703) 492-2686

Fax

(866) 499-8840

NPI assigned

Nov 25, 2013

Last updated

May 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alkesh PatelNPI 1346576477

Title

Ceo

Phone

(703) 492-2686

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Therapeutic Alliance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Therapeutic Alliance LLC

  • Community/Behavioral Health Agency
  • Manassas, VA
  • NPI 1437609609
  NPD tax ID

Locations

Practitioners 23

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.

• Alkesh Patel, LPC., CSAC

  • Professional Counselor
  • Manassas, VA
  • NPI 1346576477
  NPD Authorized official
• Brandy C Bower

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1902549306
  NPD (past)
• Alexis Taylor Cogley, RBT, QMHP-T

  • Behavior Technician
  • Roanoke, VA
  • NPI 1619567146
  NPD (past)
• Angelique Ellorin, BS, RBT, QMHP-T

  • Behavior Technician
  • Virginia Beach, VA
  • NPI 1215507934
  NPD (past)
• Vicky Fernandez Urquiaga, MS, BCBA, LBA

  • Behavior Analyst
  • Sterling, VA
  • NPI 1245820604
  NPD (past)
• Jessica Genco

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1548065444
  NPD (past)
• Hailey Elizabeth Hall

  • Behavior Technician
  • Virginia Beach, VA
  • NPI 1184478240
  NPD (past)
• Meosha Rochelle Hall

  • Behavior Technician
  • Richmond, VA
  • NPI 1063002442
  NPD (past)
• Nicolas T Johnston, RBT

  • Behavior Technician
  • Roanoke, VA
  • NPI 1013507318
  NPD (past)
• Catalina Kraft

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1194340059
  NPD (past)
• Larisa A Malts, RBT

  • Behavior Analyst
  • Falls Church, VA
  • NPI 1457941882
  NPD (past)
• Michael Gerald Orndoff

  • Social Worker
  • Virginia Beach, VA
  • NPI 1215681572
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1497185680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71807",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232551807",
            "telephone_number": "877-794-2284",
            "fax_number": "804-612-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 ASHTON AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092879",
            "telephone_number": "703-492-2686",
            "fax_number": "866-499-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Lynnhaven Pkwy Ste 370",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527353",
            "country_code": "US",
            "telephone_number": "757-301-9065",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232204811",
            "country_code": "US",
            "telephone_number": "928-522-3965",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Plantation Rd NE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240125713",
            "country_code": "US",
            "telephone_number": "434-420-2027",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10696 Crestwood Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201094411",
            "country_code": "US",
            "telephone_number": "703-492-2686",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Fall Hill Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013570",
            "country_code": "US",
            "telephone_number": "703-492-2686",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Arlington Blvd Ste 670",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220422336",
            "country_code": "US",
            "telephone_number": "703-492-2686",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22375 Broderick Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201669345",
            "country_code": "US",
            "telephone_number": "703-492-2686",
            "fax_number": "866-499-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPEUTIC ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALKESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-492-2686"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701004701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154005001",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@taculture.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "780 Lynnhaven Pkwy Ste 370",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234527353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nihil C Theodore, M.D.
• Therapeutic Alliance LLC
• Alan Paul Theriault, RPH
• Gia Thi, LCSW
• Thien C. Van & Associates, OD, PC
• George Thiery Balan
• Sudama S Tholpady, MD

• Community/Behavioral Health Agency in Manassas, VA
• Providers in Manassas, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.