Alexandria Art Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007203 Issued in VA

Legal business name

ALEXANDRIA ART THERAPY, LLC

Practice address

1008 Pendleton St Ste 1a
Alexandria, VA 22314-2182

Phone

(703) 596-9557

NPI assigned

Jul 20, 2017

Last updated

Nov 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adele Stuckey, MA, LPC, ATR-BCNPI 1427409655

Title

Owner

Phone

(703) 596-9557

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Adele Stuckey, MA, LPC, ATR-BC

  • Professional Counselor
  • Alexandria, VA
  • NPI 1427409655
  NPD Authorized official
• Katherine Gaynor

  • Art Therapist
  • Alexandria, VA
  • NPI 1124775663
  NPD

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1689197790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 PENDLETON ST STE 1A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142182",
            "telephone_number": "703-596-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 PENDLETON ST STE 1A",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142182",
            "telephone_number": "703-596-9557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108A S Columbus St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143051",
            "country_code": "US",
            "telephone_number": "703-596-9557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 S Royal St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22314",
            "country_code": "US",
            "telephone_number": "703-596-9557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEXANDRIA ART THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-596-9557",
        "authorized_official_credential": "MA, LPC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Billing LLC
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• Alexandria Adult Primary Care LLC
• Alexandria Advanced Dentistry
• Alexandria Anesthesia Assoc, PLLC
• Alexandria Associates in Dermatology, PC (Associates in Dermatology)
• Alexandria Audiology LLC (Sonus Sf000201)
• Alexandria Back & Neck Center
• Alexandria Behavior Analysis, LLC
• Alexandria Behavioral Center (Naheed Saleem)

• Professional Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.