Pure Therapeutic Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PURE THERAPEUTIC COUNSELING, PLLC

Practice address

7440 Heritage Village PLZ Ste 102
Gainesville, VA 20155-3081

Phone

(703) 994-2828

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By 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

Erika Ptak, LPCNPI 1154194934

Title

Ceo

Phone

(703) 994-2828

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Erika Ptak

  • Professional Counselor
  • Gainesville, VA
  • NPI 1154194934
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1710754833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 HERITAGE VILLAGE PLZ STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553081",
            "telephone_number": "703-994-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 HERITAGE VILLAGE PLZ STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553081",
            "telephone_number": "703-994-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE THERAPEUTIC COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "PTAK",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-994-2828",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pristine Healthcare Services, LLC
• Stephane Provencher, D.C.
• PT Solutions LLC (PT Solutions of VA)
• PT Solutions LLC
• Erika Ptak
• Puzzle Pieces LLC
• Kevin Rabago
• Rabia Rafiq DDS & Associates,PLLC
• Anna Rada, M.S., CCC-SLP
• Eve Rebecca Radin, LPC, M.ED./ED.S

• Community/Behavioral Health Agency in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.