Organization Active NPI

Mind Meadow Counseling LLC

  • Mental Health Counselor
  • Fairfax, VA
National Provider Identifier
1942065768
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND MEADOW COUNSELING LLC
Doing business as
Mind Meadow Counseling LLC
Practice address
3900 Jermantown Rd Ste 440
Fairfax, VA 22030-4900
Phone
(703) 972-2120
Fax
(703) 972-2891
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Zackary Aljuride
Title
Operations
Phone
(786) 966-5466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

3900 Jermantown Rd Ste 440
Fairfax, VA 22030-4900

Mailing address

3900 Jermantown Rd Ste 440
Fairfax, VA 22030-4900
Phone (703) 972-2120

Other names 1

  • Mind Meadow Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

10560 Main St
Ste 611
Fairfax, VA 22030

3900 Jermantown Rd
Ste 440
Fairfax, VA 22030
Phone (703) 972-2120

10560 Main St
Ste 310
Fairfax, VA 22030
Phone (571) 277-1771

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1942065768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 440",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-972-2120",
            "fax_number": "703-972-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 440",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-972-2120",
            "fax_number": "703-972-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MEADOW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "ALJURIDE",
        "authorized_official_first_name": "ZACKARY",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "786-966-5466"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Meadow Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Meadow Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2026; 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.