NPIMap

Organization Active NPI

Life Untangled Therapy LLC

  • Mental Health Counselor
  • Manassas, VA
National Provider Identifier
1588367171
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE UNTANGLED THERAPY LLC
Practice address
9108 Church St # 308
Manassas, VA 20110-5436
Phone
(703) 686-8728
Fax
(703) 775-1458
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Jamie Hardy, M.ED., LPC, LCPCNPI 1861906315
Title
Sole Owner
Phone
(703) 686-8728

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9108 Church St # 308
Manassas, VA 20110-5436

Mailing address

9108 Church St # 308
Manassas, VA 20110-5436
Phone (703) 686-8728

National Provider Directory

National Provider Directory

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": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1588367171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 CHURCH ST # 308",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105436",
            "telephone_number": "703-686-8728",
            "fax_number": "703-775-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9108 CHURCH ST # 308",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105436",
            "telephone_number": "703-686-8728",
            "fax_number": "703-775-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE UNTANGLED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "703-686-8728",
        "authorized_official_credential": "M.ED., LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.