NPIMap

Organization Active NPI

John-Mike Nelson, PLLC

  • Professional Counselor
  • Burke, VA
National Provider Identifier
1770935926
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005173 Issued in VA
Legal business name
JOHN-MIKE NELSON, PLLC
Practice address
5240 Lyngate CT
Burke, VA 22015-1631
Phone
(202) 630-1597
Fax
(844) 687-2699
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mr. John-Mike Nelson, LPCNPI 1700159563
Title
Therapist
Phone
(202) 630-1597

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0718000247 VA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701005173 VA Primary

Addresses

Primary practice location

5240 Lyngate CT
Burke, VA 22015-1631

Mailing address

5240 Lyngate CT
Burke, VA 22015-1631
Phone (202) 630-1597

Other names 1

  • Virginia Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

5240 Lyngate Ct
Burke, VA 22015
Phone (571) 549-1519

Practitioners & affiliated clinicians

Practitioners 3

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": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1770935926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "202-630-1597",
            "fax_number": "844-687-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "202-630-1597",
            "fax_number": "844-687-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN-MIKE NELSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN-MIKE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "202-630-1597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000247",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.