Active NPI
Hopespring Child & Family Clinic, LLC
- Mental Health Counselor
- MC Lean, VA
National Provider Identifier
1689031122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701005996
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.