Introspective Healing Psychotherapy Practice, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

INTROSPECTIVE HEALING PSYCHOTHERAPY PRACTICE, LLC

Practice address

300 N Washington St Ste 303a
Falls Church, VA 22046-3438

Phone

(847) 687-8774

NPI assigned

Dec 7, 2019

Organization subpart

No

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

Authorized official

Name

Dominique Agypt, LCSWNPI 1780108050

Title

Co-Owner

Phone

(847) 687-8774

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominique M Agypt, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1780108050
  NPD (past) Authorized official

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

{
    "created_epoch": "1575676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575676800000",
    "number": "1548807621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 303A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 303A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463438",
            "telephone_number": "847-687-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTROSPECTIVE HEALING PSYCHOTHERAPY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-07",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A",
        "authorized_official_last_name": "AGYPT",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "847-687-8774",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inova Health Systems Services
• Inova Physical Rehabilitation Services (Inova Physical Therapy Center)
• Inova Reston MRI Center LLC (Fairfax MRI and Imaging Center at Tysons)
• Institute for Family Centered Services
• Integrity Behavioral Partnership PLLC
• Olivia H Iovino, ARNP
• Hafsah Jawed Iqbal, PA-C, MSPAS
• Larissa Irons, LMT
• Irwin S. Feldman,D.D.S.,LTD.
• Matthew Irwin, MD

• Counselor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; 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.