Organization Active NPI

Life Hope Counseling Center LLC

  • Community/Behavioral Health Agency
  • Ashburn, VA
National Provider Identifier
1982105573
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0904009000 Issued in VA
Legal business name
LIFE HOPE COUNSELING CENTER LLC
Practice address
44679 Endicott Dr Ste 412
Ashburn, VA 20147-5567
Phone
(703) 957-8761
Fax
(703) 270-0525
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Tisa McKenna Pinkerton, LCSWNPI 1497185805
Title
Owner/Therapist
Phone
(703) 957-8761

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
Community/Behavioral Health Agency 251S00000X 0904009000 VA Primary

Addresses

Primary practice location

44679 Endicott Dr Ste 412
Ashburn, VA 20147-5567

Mailing address

44679 Endicott Dr Ste 412
Ashburn, VA 20147-5567
Phone (703) 957-8761

Other practice location 1

14540 John Marshall Hwy
Gainesville, VA 20155-1691
Phone (703) 570-5708

National Provider Directory

National Provider Directory

Locations

44679 Endicott Dr
Ste 412
Ashburn, VA 20147
Phone (703) 957-8761

Practitioners & affiliated clinicians

Practitioners 1

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1982105573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44679 ENDICOTT DR STE 412",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475567",
            "telephone_number": "703-957-8761",
            "fax_number": "703-270-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44679 ENDICOTT DR STE 412",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475567",
            "telephone_number": "703-957-8761",
            "fax_number": "703-270-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 John Marshall Hwy",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201551691",
            "country_code": "US",
            "telephone_number": "703-570-5708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE HOPE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "TISA",
        "authorized_official_middle_name": "MCKENNA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "703-957-8761",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904009000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.