Neurofeedback Therapeutic Solutions, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006901 Issued in VA

Legal business name

NEUROFEEDBACK THERAPEUTIC SOLUTIONS, LLC

Practice address

7900 Sudley Rd Ste 401
Manassas, VA 20109-2806

Phone

(571) 361-2885

Fax

(703) 490-8419

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Ann Milam, LPCNPI 1144741984

Title

Therapist / Owner

Phone

(571) 361-2885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kimberly Ann Milam, LPC, NCC

  • Professional Counselor
  • Woodbridge, VA
  • NPI 1144741984
  NPD Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1801304753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 SUDLEY RD STE 401",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092806",
            "telephone_number": "571-361-2885",
            "fax_number": "703-490-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 SUDLEY RD STE 401",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092806",
            "telephone_number": "571-361-2885",
            "fax_number": "703-490-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROFEEDBACK THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST / OWNER",
        "authorized_official_telephone_number": "571-361-2885",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tykiera Nelson
• Melisa Jane Nemec, PA-C
• Eduard Nemirovsky, MD
• Alexandra Jordan Qiu-Wei Nesel, M.ED., BCBA, LBA
• Ben Neth
• Neuromuscular, Spine and Joint Care Specialists,PLLC
• Neuronest Psychiatry
• Neuropsychology of Northern Virginia
• Neurotech, NA Inc.
• Jessica Barros Neves

• Mental Health Counselor in Manassas, VA
• Providers in Manassas, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.