NPIMap

Organization Active NPI

Testudo Recovery Inc

  • Professional Counselor
  • Ashburn, VA
National Provider Identifier
1558845461
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TESTUDO RECOVERY INC
Practice address
43330 Junction PLZ Ste 114
Ashburn, VA 20147-3407
Phone
(540) 521-1017
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dr. Ryan Carboneau, PHDNPI 1336735943
Title
Executive Director
Phone
(540) 521-1017

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

43330 Junction PLZ Ste 114
Ashburn, VA 20147-3407

Mailing address

43330 Junction PLZ Ste 114
Ashburn, VA 20147-3407

National Provider Directory

National Provider Directory

Locations

43330 Junction Plz
Ste 114
Ashburn, VA 20147
Phone (540) 521-1017

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1558845461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ STE 114",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43330 JUNCTION PLZ STE 114",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473407",
            "telephone_number": "540-521-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESTUDO RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "CARBONEAU",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-521-1017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.