NPIMap

Organization Active NPI

Best Life Therapeutic Services

  • Professional Counselor
  • Reston, VA
National Provider Identifier
1942781968
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005958 Issued in VA
Legal business name
BEST LIFE THERAPEUTIC SERVICES
Practice address
11250 Roger Bacon Dr Ste 15
Reston, VA 20190-5202
Phone
(571) 455-5206
Fax
(703) 636-8983
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Latasha Monique Scott, LPCNPI 1821347204
Title
Licensed Professional Counselor
Phone
(571) 455-5206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701005958 VA Primary

Addresses

Primary practice location

11250 Roger Bacon Dr Ste 15
Reston, VA 20190-5202

Mailing address

12909 Centre Park Cir Apt 408
Herndon, VA 20171-5848
Phone (571) 455-6596

Other names 1

  • LATASHA M SCOTT Former legal business name

National Provider Directory

National Provider Directory

Locations

11250 Roger Bacon Dr
Ste 15
Reston, VA 20190
Phone (571) 455-5206

11250 Roger Bacon Dr
Ste 15303
Reston, VA 20190
Phone (571) 455-5206

Practitioners 3

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": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1942781968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12909 CENTRE PARK CIR APT 408",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715848",
            "telephone_number": "571-455-6596",
            "fax_number": "703-636-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 ROGER BACON DR STE 15",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905202",
            "telephone_number": "571-455-5206",
            "fax_number": "703-636-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST LIFE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "571-455-5206",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LATASHA M SCOTT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.