Atlantic Counseling Group

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ATLANTIC COUNSELING GROUP

Practice address

20925 Professional PLZ Ste 230
Ashburn, VA 20147-3403

Phone

(703) 665-0949

Fax

(703) 665-7686

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mike Vazzana, LPC

Title

Partner

Phone

(703) 665-0949

Specialties & licenses 2

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Atlantic Behavioral Health Services, LLC

  • Mental Health Counselor
  • Leesburg, VA
  • NPI 1194394981
  NPPES parent name

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1578904702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20925 PROFESSIONAL PLZ STE 230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473403",
            "telephone_number": "703-665-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20925 PROFESSIONAL PLZ STE 230",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473403",
            "telephone_number": "703-665-0949",
            "fax_number": "703-665-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "VAZZANA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-665-0949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.