Prospera Counseling and Consulting PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROSPERA COUNSELING AND CONSULTING PLLC

Practice address

1800 Diagonal Rd
Suite 600 PMB 1139
Alexandria, VA 22314-2840

Phone

(703) 461-4975

NPI assigned

Nov 1, 2024

Organization subpart

No

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

Authorized official

Name

Jacqueline Carrera, LPCNPI 1104457712

Title

Owner

Phone

(703) 261-4975

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Carrera, LPC

  • Mental Health Counselor
  • Alexandria, VA
  • NPI 1104457712
  NPD Authorized official

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1619790342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD",
            "address_2": "SUITE 600 PMB 1139",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DIAGONAL RD",
            "address_2": "SUITE 600 PMB 1139",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142840",
            "telephone_number": "703-461-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERA COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "CARRERA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-261-4975",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Alexandria, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.