Safe in Zion Autism Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAFE IN ZION AUTISM SERVICES

Practice address

10710 Shadowglen TRL
Fairfax Station, VA 22039-2429

Phone

(703) 457-1047

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

BJ Hudson

Title

Owner

Phone

(703) 655-7738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1609517150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 SHADOWGLEN TRL",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392429",
            "telephone_number": "703-457-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 SHADOWGLEN TRL",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392429",
            "telephone_number": "703-457-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE IN ZION AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-655-7738"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fairfax Station, VA
• Providers in Fairfax Station, 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 Apr 6, 2022; 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.