Active NPI
Teresina M S Christy, LPC LMFT
- Professional Counselor
- Fairfax, VA
National Provider Identifier
1710076161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001836
- Practice address
- 10555 Main St
Suite 230
Fairfax, VA 22030-3306 - Phone
- (703) 352-8533
- Fax
- (703) 237-6780
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001836 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000488 | VA |
Addresses
Primary practice location
10555 Main St
Suite 230
Fairfax, VA 22030-3306
Mailing address
10555 Main Street
Suite 230
Fairfax, VA 22030-3306
Phone (703) 352-8533
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091585 | Other | VA | ANTHEM BCBS |
| 00250001 | Other | DC | CAREFIRST BCBS |
| 217463 | Other | KAISER PERMANENTE | |
| 18166 | Other | NCPPO | |
| 5782081 | Other | AETNA | |
| 323251 | Other | TRICARE MHN | |
| 006360 | Other | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001836 | VA | MD | Professional Counselor |
| 0717000488 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1710076161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10555 MAIN STREET",
"address_2": "SUITE 230",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303306",
"telephone_number": "703-352-8533",
"fax_number": "703-237-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 MAIN ST",
"address_2": "SUITE 230",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303306",
"telephone_number": "703-352-8533",
"fax_number": "703-237-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTY",
"first_name": "TERESINA",
"middle_name": "M S",
"credential": "LPC LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001836",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000488",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "091585",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "00250001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "217463",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "18166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5782081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE MHN",
"identifier": "323251",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "006360",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.