NPIMap

Organization Active NPI

Desi Farren C.a.C. & Associates

Doing business as The Recovery Center of Northern Virginia

  • Addiction (Substance Use Disorder) Counselor
  • Herndon, VA
National Provider Identifier
1629348099
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
356 Issued in VA
Legal business name
DESI FARREN C.A.C. & ASSOCIATES
Doing business as
The Recovery Center of Northern Virginia
Practice address
425 Carlisle Dr Ste B
Herndon, VA 20170-5618
Phone
(703) 464-5122
Fax
(703) 464-5822
NPI assigned
Jan 3, 2012
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Desi Farren, C.A.C.
Title
Director
Phone
(703) 464-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 356 VA Primary

Addresses

Primary practice location

425 Carlisle Dr Ste B
Herndon, VA 20170-5618

Mailing address

425 Carlisle Dr Ste B
Herndon, VA 20170-5618
Phone (703) 464-5122

Other names 1

  • The Recovery Center of Northern Virginia Doing business as

National Provider Directory

National Provider Directory

Locations

425 Carlisle Dr
Ste B
Herndon, VA 20170
Phone (703) 464-5122

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1629348099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705618",
            "telephone_number": "703-464-5122",
            "fax_number": "703-464-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CARLISLE DR STE B",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705618",
            "telephone_number": "703-464-5122",
            "fax_number": "703-464-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESI FARREN C.A.C. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "FARREN",
        "authorized_official_first_name": "DESI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-464-5122",
        "authorized_official_credential": "C.A.C."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Recovery Center of Northern Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.