NPIMap

Organization Active NPI

Amanda Sovik-Johnston

Doing business as Active & Connected Family Therapy

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1821867524
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AMANDA SOVIK-JOHNSTON
Doing business as
Active & Connected Family Therapy
Practice address
141 Ednam Dr Ste 104
Charlottesville, VA 22903-4629
Phone
(434) 202-4080
NPI assigned
Dec 22, 2023
Last updated
Dec 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Jennifer Bedlion
Title
HR Assistant
Phone
(434) 202-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

141 Ednam Dr Ste 104
Charlottesville, VA 22903-4629

Mailing address

141 Ednam Dr Ste 104
Charlottesville, VA 22903-4629
Phone (434) 202-4080

Other names 1

  • Active & Connected Family Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

141 Ednam Dr
Ste 104
Charlottesville, VA 22903
Phone (434) 825-0422

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1821867524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 EDNAM DR STE 104",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034629",
            "telephone_number": "434-202-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 EDNAM DR STE 104",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034629",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA SOVIK-JOHNSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "BEDLION",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "HR ASSISTANT",
        "authorized_official_telephone_number": "434-202-4080"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active & Connected Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.