Active NPI
Pastoral Counseling of Northern Virginia
- Marriage & Family Therapist
- MC Lean, VA
National Provider Identifier
1568790624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717000185
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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 Virginia
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Vienna, VA
- NPI 1255669255
-
- Clinical Social Worker
- Manassas, VA
- NPI 1467543173
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.