NPIMap

Organization Active NPI

Fairfax Therapy Solutions LLC

  • Mental Health Counselor
  • Fairfax, VA
National Provider Identifier
1902448251
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAIRFAX THERAPY SOLUTIONS LLC
Practice address
9675 Main St Ste C
Fairfax, VA 22031-3762
Phone
(703) 899-8222
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Deborah M Finerty-Obrien, LCSWNPI 1689791857
Title
Owner
Phone
(703) 899-8222

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9675 Main St Ste C
Fairfax, VA 22031-3762

Mailing address

9675 Main St Ste C
Fairfax, VA 22031-3762
Phone (703) 899-8222

Other identifiers 3

IdentifierTypeStateIssuer
1689791857MedicaidVA
1417425679MedicaidVA
1043606312MedicaidVA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address deborah@fairfaxtherapysolutions.com Health Information Exchange (HIE)
Direct Messaging Address kelly@fairfaxtherapysolutons.com Health Information Exchange (HIE)
Direct Messaging Address maggie@fairfaxtherapysolutons.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

9675 Main St
Ste C
Fairfax, VA 22031
Phone (703) 334-0409

Practitioners & affiliated clinicians

Practitioners 2

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": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1902448251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 MAIN ST STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313762",
            "telephone_number": "703-899-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 MAIN ST STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313762",
            "telephone_number": "703-899-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "FINERTY-OBRIEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-899-8222",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689791857",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417425679",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043606312",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deborah@fairfaxtherapysolutions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9675 Main St Ste C",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly@fairfaxtherapysolutons.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9675 Main St Ste C",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maggie@fairfaxtherapysolutons.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9675 Main St Ste C",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220313762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.