Afshar Brothers Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Herndon, VA
NPI 1629787809 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1629787809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- AFSHAR BROTHERS INC.
- Practice address
- 13655 Dulles Technology Dr Ste 120
Herndon, VA 20171-4634 - Phone
- (571) 665-4025
- Fax
- (703) 890-2554
- NPI assigned
- Nov 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Stephanie L Afshar
- Title
- Owner
- Phone
- (703) 869-1468
Practitioners 16
-
Amanda Leigh Davis-Scott, MS, LPC
-
Christine L Hennigan, MS, LPC, LSATP, CSAC
-
Jenna Kelley, MS, LPC, ATR
-
Kristine L Pantke, MSW, LCSW
-
Garine Achikian, ATR-P, LPC-R
-
Martia T Hayes, MA, LPC
-
Ashley Rogers, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241121003314 | DC | Part B Supplier - Clinic/Group Practice | 1355876749 |
Receives reassigned benefits from 5 practitioners Practice locations: Herndon, VA; MC Lean, VA; Chantilly, VA |
National Provider Directory
Locations
14500 Avion Pkwy
Chantilly, VA 20151
14500 Avion Pkwy
Ste 315
Chantilly, VA 20151
Phone (703) 260-9978
13655 Dulles Technology Dr
Ste 120
Herndon, VA 20171
Phone (571) 306-2067
7918 Jones Branch Dr
Ste 520
Mc Lean, VA 22102
Phone (571) 665-4025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
13655 Dulles Technology Dr Ste 120
Herndon, VA 20171-4634
Mailing address
13655 Dulles Technology Dr Ste 120
Herndon, VA 20171-4634
Phone (715) 665-4025
Other practice location 1
14500 Avion Pkwy Ste 315
Chantilly, VA 20151-1108
Phone (703) 260-9978
Other names
- Ellie Mental Health
Other providers in Herndon, VA
- Advanced Medical and Professional Solutions, Inc.
- Advanced PT and Rehab
- Advanced PT and Rehab
- Edil A Afi
- Mahsa Afrand
- Ageless Women'S Health VA LLC
- Imaney N Ahmad
- Mobashar Ahmad
- Sameer I Ahmad
- Kristina Wales Ahner
All providers in Herndon, VA · Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.