Bodymind Integrated Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BODYMIND INTEGRATED COUNSELING CENTER

Practice address

15000 Potomac Town PL # 184
Woodbridge, VA 22191-6586

Phone

(571) 327-0890

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Connor Keuntje, LPC, LCPCNPI 1093947400

Title

Owner

Phone

(571) 327-0890

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.

• Connor Keuntje, LPC, LCPC

  • Professional Counselor
  • Woodbridge, VA
  • NPI 1093947400
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1679389217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 POTOMAC TOWN PL # 184",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 POTOMAC TOWN PL # 184",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916586",
            "telephone_number": "571-327-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYMIND INTEGRATED COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "KEUNTJE",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-327-0890",
        "authorized_official_credential": "LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Boateng
• Kwabena A Boateng, BS,MS
• Stephanie Boateng, CNM
• Abigail Boatey, FNP-BC
• David W Bobb, R.PH
• Kristina Marie Boine, BT
• Chamika Bolden
• Jalisa Boler
• Oluwaseyi Bolaji Bolorunduro, MBBS MPH
• Brandon Boltinghouse, LCSW

• Community/Behavioral Health Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.