Organization Active NPI

Columbia Behavioral Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reston, VA
National Provider Identifier
1760270318
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COLUMBIA BEHAVIORAL HEALTH PLLC
Practice address
11490 Commerce Park Dr Ste 500
Reston, VA 20191-1532
Phone
(703) 337-3116
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Alexander Kanaan, NURSE PRACTITIONERNPI 1831602333
Title
Owner
Phone
(727) 400-1951

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11490 Commerce Park Dr Ste 500
Reston, VA 20191-1532

Mailing address

11490 Commerce Park Dr Ste 500
Reston, VA 20191-1532
Phone (703) 337-3116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118002323 DC Part B Supplier - Clinic/Group Practice 9436640349 Receives reassigned benefits from 1 practitioner
Practice locations: Reston, VA

National Provider Directory

National Provider Directory

Locations

2300 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (301) 323-5442

1775 Wiehle Ave
Ste 400
Reston, VA 20190

11490 Commerce Park Dr
Ste 500
Reston, VA 20191
Phone (703) 202-1050

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": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1760270318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11490 COMMERCE PARK DR STE 500",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911532",
            "telephone_number": "703-337-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 COMMERCE PARK DR STE 500",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911532",
            "telephone_number": "703-337-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "KANAAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-400-1951",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.