Corliss Gillespie, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CORLISS GILLESPIE, LLC

Doing business as

Happy Minds Counseling and Consulting

Practice address

12531 Clipper Dr
Woodbridge, VA 22192-2355

Phone

(571) 402-2509

NPI assigned

Feb 24, 2019

Organization subpart

Yes

Parent organization

CORLISS GILLESPIEAs reported in NPPES

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

Authorized official

Name

Corliss Gillespie, LPCNPI 1881724367

Title

Ceo

Phone

(571) 402-2509

Specialties & licenses 1

Addresses

Other names 1

• Happy Minds Counseling and Consulting Doing business as

Part of

Corliss Gillespie LLC

Locations

Practitioners 1

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.

• Corliss Gillespie, LPC

  • Professional Counselor
  • Woodbridge, VA
  • NPI 1881724367
  NPD (past) Authorized official

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550966400000",
    "number": "1912464140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4090",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221944090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12531 CLIPPER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922355",
            "telephone_number": "571-402-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLISS GILLESPIE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORLISS GILLESPIE",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "CORLISS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-402-2509",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Minds Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.