Organization Active NPI

Assurance Mental Health Network of Virginia

  • Community/Behavioral Health Agency
  • Stafford, VA
National Provider Identifier
1851115653
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASSURANCE MENTAL HEALTH NETWORK OF VIRGINIA
Practice address
87 Hidden Lake Dr
Stafford, VA 22556-1255
Phone
(703) 231-2249
NPI assigned
Nov 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Authorized official

Name
Tomasina Rucker, LCSWNPI 1073399176
Title
Owner
Phone
(703) 231-2249

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

87 Hidden Lake Dr
Stafford, VA 22556-1255

Mailing address

87 Hidden Lake Dr
Stafford, VA 22556-1255

National Provider Directory

National Provider Directory

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": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731110400000",
    "number": "1851115653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HIDDEN LAKE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HIDDEN LAKE DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225561255",
            "telephone_number": "703-231-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE MENTAL HEALTH NETWORK OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "TOMASINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-231-2249",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

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