Active NPI
Face It Counseling Services, LLC
- Professional Counselor
- Fairfax, VA
National Provider Identifier
1497269302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004743
- Legal business name
- FACE IT COUNSELING SERVICES, LLC
- Practice address
- 11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972 - Phone
- (703) 957-8975
- NPI assigned
- Nov 30, 2017
- 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
- Keisha B Matthews, BS MA LCPC LPC ACS
- Title
- Ceo/Owner
- Phone
- (703) 957-8975
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004743 | VA | Primary |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972
Mailing address
12587 Fair Lakes Cir Ste 408
Fairfax, VA 22033-3822
National Provider Directory
National Provider DirectoryLocations
11325 Random Hills Rd
Ste 360
Fairfax, VA 22030
Phone (703) 691-1326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fairfax, VA
- NPI 1790080257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1497269302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12587 FAIR LAKES CIR STE 408",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 RANDOM HILLS RD STE 360",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300972",
"telephone_number": "703-957-8975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACE IT COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-30",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "KEISHA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "703-957-8975",
"authorized_official_credential": "BS MA LCPC LPC ACS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004743",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 26, 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.