Imani Holistic Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IMANI HOLISTIC COUNSELING LLC

Doing business as

Tanisha Robinson

Practice address

122 Chanel Ter Apt 101
Falls Church, VA 22046-4106

Phone

(703) 203-2147

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Tanisha Nicole Robinson, LCSWNPI 1093217903

Title

Owner and Clinician

Phone

(703) 203-2147

Specialties & licenses 1

Addresses

Other names 1

• Tanisha Robinson Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Tanisha Nicole Robinson, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1093217903

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1750929188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CHANEL TER APT 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464106",
            "telephone_number": "703-203-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CHANEL TER APT 101",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464106",
            "telephone_number": "703-203-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOLISTIC COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER AND CLINICIAN",
        "authorized_official_telephone_number": "703-203-2147",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanisha Robinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea N Ihnat
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• Hafsa Ijaz
• Leonard Ilkhanoff, MD
• Saira Imaad, DDS
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• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.