Organization Active NPI

Pastoral Counseling of Northern Virginia

  • Marriage & Family Therapist
  • MC Lean, VA
National Provider Identifier
1568790624
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000185 Issued in VA
Legal business name
PASTORAL COUNSELING OF NORTHERN VIRGINIA
Practice address
1205 Dolley Madison Blvd
MC Lean, VA 22101-3019
Phone
(703) 449-1944
Fax
(703) 356-9119
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Authorized official

Name
Dr. Gary L Hulme
Title
Executive Director
Phone
(703) 449-1944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0717000185 VA Primary

Addresses

Primary practice location

1205 Dolley Madison Blvd
MC Lean, VA 22101-3019

Mailing address

4094 Majestic LN
Fairfax, VA 22033-2104
Phone (703) 449-1944

National Provider Directory

National Provider Directory
Tax ID family
Pastoral Counseling of Northern Virginia3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1205 Dolley Madison Blvd
Mc Lean, VA 22101
Phone (703) 335-6172

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1568790624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 MAJESTIC LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332104",
            "telephone_number": "703-449-1944",
            "fax_number": "703-356-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DOLLEY MADISON BLVD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013019",
            "telephone_number": "703-449-1944",
            "fax_number": "703-356-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL COUNSELING OF NORTHERN VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "HULME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-449-1944",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.