Eager Mind Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAGER MIND SERVICES

Practice address

950 N Washington St
Alexandria, VA 22314-2393

Phone

(571) 303-9044

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Raquel LusterNPI 1902521941

Title

Owner

Phone

(571) 303-9044

Specialties & licenses 1

Addresses

Practitioners 1

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

• Raquel Luster

  • Mental Health Counselor
  • Dumfries, VA
  • NPI 1902521941
  NPD Authorized official

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1891472080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S WEST ST STE 116",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142824",
            "telephone_number": "571-303-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142393",
            "telephone_number": "571-303-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGER MIND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "LUSTER",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-303-9044"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.