Beyond Behaviors, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

22705001 Issued in VA

Legal business name

BEYOND BEHAVIORS, INC.

Practice address

4208 Evergreen LN
Suite #211
Annandale, VA 22003-3235

Phone

(703) 658-9300

NPI assigned

Mar 24, 2006

Organization subpart

No

Name

Mrs. Christine Michelle Macke, RN

Title

Ceo/Cfo

Phone

(703) 658-9300

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679533459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN",
            "address_2": "SUITE #211",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033235",
            "telephone_number": "703-658-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LN",
            "address_2": "SUITE #211",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033235",
            "telephone_number": "703-658-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND BEHAVIORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "703-658-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "22705001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4947207",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.