Rule 62 Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RULE 62 THERAPY LLC

Practice address

39 Garrett St Ste 111
Warrenton, VA 20186-3123

Phone

(571) 210-0355

Fax

(571) 520-2013

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Samuel Kim, LCSWNPI 1912789553

Title

Clinical Director/Psychotherapist

Phone

(571) 520-2013

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Samuel Kim, LCSW

  • Clinical Social Worker
  • Warrenton, VA
  • NPI 1912789553
  NPD Authorized official
• Bianca Klein-Breteler

  • Mental Health Counselor
  • Chantilly, VA
  • NPI 1972351088
  NPD
• Avery Glenn Gaul

  • Counselor
  • Lynchburg, VA
  • NPI 1437951811
  NPD (past)

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1942073127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W LEE HWY STE 615",
            "address_2": "1071",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862078",
            "telephone_number": "571-520-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GARRETT ST STE 111",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863123",
            "telephone_number": "571-210-0355",
            "fax_number": "571-520-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5510 Cherokee Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "22312",
            "country_code": "US",
            "telephone_number": "571-520-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RULE 62 THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "571-520-2013",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Lynn Rosa, RDN
• Jaimie Rose, MSN, WHNP
• Shannon Marie Ross, FNP-BC
• Rikhonda Rovey, NP
• Julie Maybach Royal, P.T.
• Joan Ellen Russo, LCSW
• Dennis M Rustom, M.D., F.A.A.P.
• Sonia Saini
• Nathaniel Saint-Preux, MD
• Michelle Jimenez Salcedo, NP

• Clinical Social Worker in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.