Mindsparks. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDSPARKS. LLC

Practice address

1765 Greensboro Station PL Ste 900
MC Lean, VA 22102-3470

Phone

(703) 481-9800

Fax

(703) 481-9801

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Omaira Qazi

Title

President

Phone

(703) 507-2692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1942019211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GREENSBORO STATION PL STE 900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023470",
            "telephone_number": "703-481-9800",
            "fax_number": "703-481-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GREENSBORO STATION PL STE 900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023470",
            "telephone_number": "703-481-9800",
            "fax_number": "703-481-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPARKS. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "OMAIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-507-2692"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.