Commonwealth Counseling Associates Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COMMONWEALTH COUNSELING ASSOCIATES INC

Doing business as

LifeStance Health

Practice address

9202 Center Oak CT
Mechanicsville, VA 23116-2744

Phone

(804) 207-6737

Fax

(804) 730-2829

NPI assigned

May 22, 2006

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Pardo

Title

Chief Legal Officer

Phone

(206) 399-1493

Specialties & licenses 8

Addresses

Other identifiers 3

Other names 1

• LifeStance Health Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations (25 of 28)

Practitioners 415

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.

• Halima Al-Qawasmi, MD

  • Psychiatry Physician
  • Vienna, VA
  • NPI 1225423577

  DC

  Medicare reassignment Care Compare group NPD
• Kaila Allen, LCSW, LICSW

  • Clinical Social Worker
  • Gainesville, VA
  • NPI 1184080582
  Medicare reassignment Care Compare group NPD
• Ashley J Allsbrook, LPC

  • Professional Counselor
  • Suffolk, VA
  • NPI 1033794888

  Mental Health

  Medicare reassignment Care Compare group NPD
• Keesha Lawanda Anderson, M.ED., LPC

  • Professional Counselor
  • Henrico, VA
  • NPI 1700598364

  Mental Health

  Medicare reassignment Care Compare group NPD
• Katie Austin, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1679337349
  Medicare reassignment Care Compare group NPD
• Carter G Bagnall, LPC

  • Professional Counselor
  • McLean, VA
  • NPI 1861016230

  DC

  Medicare reassignment Care Compare group NPD
• Shavon L Bailey, LPC

  • Professional Counselor
  • Glen Allen, VA
  • NPI 1699012443
  Medicare reassignment Care Compare group NPD
• Priscilla L Ballsun, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1699767558
  Medicare reassignment Care Compare group NPD
• Linda G Barker, LCSW

  • Clinical Social Worker
  • Midlothian, VA
  • NPI 1326322868
  Medicare reassignment Care Compare group NPD
• Frinette Maria Barkhauer, M.D.

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1386930048
  Medicare reassignment Care Compare group NPD
• Juan Pablo Barrios Rottmann, LPC

  • Professional Counselor
  • Purcellville, VA
  • NPI 1497539720
  Medicare reassignment Care Compare group NPD
• Lesly Heather Baugh, MD

  • Child & Adolescent Psychiatry Physician
  • Leesburg, VA
  • NPI 1639242522
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1851345805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 CENTER OAK CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162744",
            "telephone_number": "804-207-6737",
            "fax_number": "804-730-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 CENTER OAK CT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162744",
            "telephone_number": "804-207-6737",
            "fax_number": "804-730-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH COUNSELING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "270615000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015185590001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "440241",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.