Fairfax Integrative Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

FAIRFAX INTEGRATIVE THERAPY, LLC

Practice address

10640 Page Ave Ste 210
Fairfax, VA 22030-4000

Phone

(704) 614-2388

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Maureen Bethea, LMFTNPI 1790031854

Title

Owner

Phone

(703) 744-0609

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Smith Bethea, LMFT

  • Marriage & Family Therapist
  • Fairfax, VA
  • NPI 1790031854
  NPD Authorized official
• Meagan Chevalier

  • Marriage & Family Therapist
  • Fairfax, VA
  • NPI 1174124895
  NPD
• Christina Bonenberger Frank, LMFT

  • Marriage & Family Therapist
  • Fairfax, VA
  • NPI 1205358041
  NPD
• Rachel Cheche Hoover, LMFT

  • Marriage & Family Therapist
  • Crozet, VA
  • NPI 1265031728
  NPD (past)

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1689273740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304000",
            "telephone_number": "704-614-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 PAGE AVE STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304000",
            "telephone_number": "704-614-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "BETHEA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-744-0609",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfax Family Practice Centers, P.C
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• Fairfax Foot and Ankle Specialists, PLLC
• Fairfax Gastroenterology, Inc.
• Fairfax Home Birth
• Fairfax Internal Medicine
• Fairfax Loudoun OBGYN, Inc
• Fairfax Lung Center PC
• Fairfax Medical Associates,LLC
• Fairfax Medical Center Optician Inc.

• Marriage & Family Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.