Organization Active NPI

Cspace Counseling and Coaching LLC

  • Community/Behavioral Health Agency
  • Alexandria, VA
National Provider Identifier
1649013418
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CSPACE COUNSELING AND COACHING LLC
Practice address
6408 Grovedale Dr
Alexandria, VA 22310-2595
Phone
(571) 480-1808
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Jeffrey Crosson
Title
Ceo
Phone
(571) 804-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6408 Grovedale Dr
Alexandria, VA 22310-2595

Mailing address

547 Twin Lakes Lane
Bumpass, VA 23024
Phone (571) 480-1808

Other names 1

  • xxx-xx-xxxx Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1649013418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 TWIN LAKES LANE",
            "city": "BUMPASS",
            "state": "VA",
            "postal_code": "23024",
            "telephone_number": "571-480-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 GROVEDALE DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102595",
            "telephone_number": "571-480-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSPACE COUNSELING AND COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "CROSSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-804-1808"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "xxx-xx-xxxx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.