Individual provider Active NPI

Samar Lida Tehrani, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Arlington, VA
National Provider Identifier
1871939413
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710102789 Issued in VA
Practice address
2300 N Pershing Dr
Suite 201 #10
Arlington, VA 22201-1428
Phone
(202) 681-1281
Fax
(202) 681-1281
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102789 VA Primary

Addresses

Primary practice location

2300 N Pershing Dr
Suite 201 #10
Arlington, VA 22201-1428

Mailing address

2300 N Pershing Dr
Suite 201 #10
Arlington, VA 22201-1428
Phone (202) 681-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0710102789VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Substance Treatment Services CurrentSince Jul 16, 2023 Accepting new patients
Helix Counseling and Coaching Services Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1880 Howard Ave
Ste 200
Vienna, VA 22182
Phone (571) 354-5971

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1871939413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR",
            "address_2": "SUITE 201 #10",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "202-681-1281",
            "fax_number": "202-681-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N PERSHING DR",
            "address_2": "SUITE 201 #10",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222011428",
            "telephone_number": "202-681-1281",
            "fax_number": "202-681-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "SAMAR",
        "middle_name": "LIDA",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.