Compassionate Therapy Center, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

COMPASSIONATE THERAPY CENTER, LLC

Practice address

926 17TH St S
Arlington, VA 22202-2602

Phone

(571) 969-5264

NPI assigned

Sep 19, 2021

Last updated

Sep 19, 2021By 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

Ms. Kamaria Ariel SidmanNPI 1982243440

Title

Principal

Phone

(571) 969-5264

Specialties & licenses 3

Addresses

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.

• Kamaria Ariel Sidman

  • Counselor
  • Arlington, VA
  • NPI 1982243440
  NPD Authorized official

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1730859885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S FERN ST UNIT 25351",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222025964",
            "telephone_number": "571-969-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 17TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022602",
            "telephone_number": "571-969-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "SIDMAN",
        "authorized_official_first_name": "KAMARIA",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "571-969-5264",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; 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.