Active NPI
Pleasant Valley Health Services PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Manassas, VA
National Provider Identifier
1740171677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PLEASANT VALLEY HEALTH SERVICES PLLC
- Practice address
- 8711 Plantation LN Ste 302
Manassas, VA 20110-8322 - Phone
- (571) 569-0607
- Fax
- (571) 569-0608
- NPI assigned
- Jul 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olayemi Ikhile, DNP
- Title
- Owner
- Phone
- (571) 569-0607
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8711 Plantation LN Ste 302
Manassas, VA 20110-8322
Mailing address
4410 Brookfield Corporate Dr
Chantilly, VA 20151-1662
Phone (571) 569-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8711 Plantation Ln
Manassas, VA 20110
8711 Plantation Ln
Ste 302
Manassas, VA 20110
Phone (571) 569-0607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752710400000",
"number": "1740171677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 BROOKFIELD CORPORATE DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201511662",
"telephone_number": "571-569-0607",
"fax_number": "571-569-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8711 PLANTATION LN STE 302",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201108322",
"telephone_number": "571-569-0607",
"fax_number": "571-569-0608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VALLEY HEALTH SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A",
"authorized_official_last_name": "IKHILE",
"authorized_official_first_name": "OLAYEMI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "571-569-0607",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.