Letizia N/a Fariss

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704015747 Issued in VA

Practice address

700 W Braddock Rd
Alexandria, VA 22302-3601

Phone

(301) 292-2778

NPI assigned

Mar 22, 2023

Last updated

Nov 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safe Harbor Christian Counseling of Southern Maryland, LLC

  • Professional Counselor
  • Clinton, MD
  • NPI 1467663179
  NPD (past)

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1922701838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 FLORAL PARK RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207359665",
            "telephone_number": "301-292-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W BRADDOCK RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223023601",
            "telephone_number": "301-292-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 Crain Hwy",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207724119",
            "country_code": "US",
            "telephone_number": "301-292-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3102 Floral Park Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "207359665",
            "country_code": "US",
            "telephone_number": "301-292-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARISS",
        "first_name": "LETIZIA",
        "middle_name": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP13713",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704015747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew A Fanous, M.D.
• Chantal Emile Farah, PHARM D
• Roxane Farahi Far, MD
• Roma White Farge
• Abbas Farhandi, MD
• Sarah Farnaby, PSYD, LPC
• Tamkeen M. Farooq, D.O.
• Kathleen Farris, MS OTR/L
• Risa Marta Farugia
• Anna Farwell

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

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