Active NPI
Main Street Counseling Inc
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1982468914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MAIN STREET COUNSELING INC
- Practice address
- 10195 Main St Ste O
Fairfax, VA 22031-3415 - Phone
- (703) 591-9600
- Fax
- (703) 591-9656
- NPI assigned
- Feb 9, 2024
- Last updated
- Jul 9, 2024
- 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
- Linda J Parkes
- Title
- Owner
- Phone
- (703) 591-9600
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10195 Main St Ste O
Fairfax, VA 22031-3415
Mailing address
10195 Main St Ste O
Fairfax, VA 22031-3415
Phone (703) 591-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1982468914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10195 MAIN ST STE O",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313415",
"telephone_number": "703-591-9600",
"fax_number": "703-591-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10195 MAIN ST STE O",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313415",
"telephone_number": "703-591-9600",
"fax_number": "703-591-9656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN STREET COUNSELING INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "PARKES",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-591-9600"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.