NPIMap

Organization Active NPI

Practical Therapeutic Solutions, PLLC

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1629328083
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904007483 Issued in VA
Legal business name
PRACTICAL THERAPEUTIC SOLUTIONS, PLLC
Practice address
10372 Democracy LN
Fairfax, VA 22030-2522
Phone
(703) 591-2551
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Johnny S Powell, LCSWNPI 1790051779
Title
Member
Phone
(703) 801-5527

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
Community/Behavioral Health Agency 251S00000X 0904007483 VA Primary

Addresses

Primary practice location

10372 Democracy LN
Fairfax, VA 22030-2522

Mailing address

10372 Democracy LN
Fairfax, VA 22030-2522
Phone (703) 591-2551

Other identifiers 1

IdentifierTypeStateIssuer
09044007483OtherVAMENTALHEALTH/COUNSELOR

National Provider Directory

National Provider Directory

Locations

10372 Democracy Ln
Fairfax, VA 22030
Phone (703) 586-3857

Practitioners & affiliated clinicians

Practitioners 6

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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1629328083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 DEMOCRACY LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302522",
            "telephone_number": "703-591-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL THERAPEUTIC SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-801-5527",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTALHEALTH/COUNSELOR",
            "identifier": "09044007483",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.