Individual provider Active NPI

Stephen Robert Band, PH.D.

  • Professional Counselor
  • Manassas, VA
National Provider Identifier
1518304427
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001517 Issued in VA
Practice address
8425 Dorsey Cir Ste 102
Manassas, VA 20110-4595
Phone
(540) 846-5429
NPI assigned
May 31, 2013
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001517 VA Primary
Marriage & Family Therapist 106H00000X 0717000087 VA

Addresses

Primary practice location

8425 Dorsey Cir Ste 102
Manassas, VA 20110-4595

Mailing address

12059 Bridle Post PL
Manassas, VA 20112-5515
Phone (540) 846-5429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701001517VAMDProfessional Counselor
0717000087VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Intelligence Specialists, LLC Professional Current Accepting new patients

Locations

9300 Forest Point Cir
Ste 160
Manassas, VA 20110
Phone (540) 846-5429

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1518304427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12059 BRIDLE POST PL",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201125515",
            "telephone_number": "540-846-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 DORSEY CIR STE 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104595",
            "telephone_number": "540-846-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAND",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001517",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.