Cardinal Family Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CARDINAL FAMILY COUNSELING, PLLC

Practice address

12872 Harbor Dr
Woodbridge, VA 22192-2921

Phone

(703) 975-4186

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Sharlene HamiltonNPI 1215545868

Title

Owner

Phone

(703) 975-4186

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharlene Hamilton, LPC, NCC

  • Mental Health Counselor
  • Woodbridge, VA
  • NPI 1215545868

  Mental Health

  NPD Authorized official
• Nicole Catherine Ronayne, LPC

  • Mental Health Counselor
  • Woodbridge, VA
  • NPI 1942936323

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1962094342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 BANEBERRY CIR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128859",
            "telephone_number": "703-975-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "703-975-4186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14111 Baneberry Cir",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201128859",
            "country_code": "US",
            "telephone_number": "703-975-4186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDINAL FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-975-4186"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.