Organization Active NPI

Hopespring Child & Family Clinic, LLC

  • Mental Health Counselor
  • MC Lean, VA
National Provider Identifier
1689031122
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701005996 Issued in VA
Legal business name
HOPESPRING CHILD & FAMILY CLINIC, LLC
Practice address
1497 Chain Bridge Rd Ste 103
MC Lean, VA 22101-5728
Phone
(410) 241-2520
Fax
(410) 442-1075
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Mi-Kyong Monica Kwon, PH.D., LPC, LCPC
Title
Owner/Director
Phone
(410) 241-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0701005996 VA Primary

Addresses

Primary practice location

1497 Chain Bridge Rd Ste 103
MC Lean, VA 22101-5728

Mailing address

24981 Waterdock Dr
Stone Ridge, VA 20105-5607
Phone (410) 241-2520

National Provider Directory

National Provider Directory

Locations

1497 Chain Bridge Rd
Ste 103
McLean, VA 22101
Phone (301) 538-8151

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1689031122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24981 WATERDOCK DR",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201055607",
            "telephone_number": "410-241-2520",
            "fax_number": "410-442-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 CHAIN BRIDGE RD STE 103",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015728",
            "telephone_number": "410-241-2520",
            "fax_number": "410-442-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPESPRING CHILD & FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "MI-KYONG",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "410-241-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.