Grace Nova Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRACE NOVA COUNSELING

Practice address

8227 Old Courthouse Rd Ste 215
Vienna, VA 22182-3815

Phone

(571) 230-3019

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Lutrell Stephenson, MA, LPCNPI 1528269438

Title

Licensed Mental Health Counselor

Phone

(571) 230-3019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kelly Lutrell Stephenson, LPC

  • Professional Counselor
  • Vienna, VA
  • NPI 1528269438
  NPD (past) Authorized official

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1649838285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 OLD COURTHOUSE RD STE 215",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823815",
            "telephone_number": "571-230-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 OLD COURTHOUSE RD STE 215",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823815",
            "telephone_number": "571-230-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE NOVA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LUTRELL",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "571-230-3019",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Anne Gough, O.D.
• Brielle Gough, DMD
• Stefania Filio Gourzi, RPH
• Harish Goyal, M.D.
• Grace in Motion, LLC (Grace in Motion)
• Andrew Gracen Carroll
• Jes Ansley Graham, DOULA
• Annika Grangaard, PSYD
• Beatrice Roque Gray
• Grace Elizabeth Gray, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Vienna, VA
• Providers in Vienna, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.