Active NPI
Life Hope Counseling Center LLC
- Community/Behavioral Health Agency
- Ashburn, VA
National Provider Identifier
1982105573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0904009000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tisa McKenna Pinkerton, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Fairfax, VA
- NPI 1497185805
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.