Active NPI
Hopespring Child & Family Clinic, LLC
- Mental Health Counselor
- McLean, 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
- Last updated
- Jan 28, 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
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.
-
- Professional Counselor
- Marriottsville, MD
- NPI 1326169400
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 McLean, 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.