Luminescence Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LUMINESCENCE COUNSELING LLC

Practice address

300 N Washington St Ste 607
Alexandria, VA 22314-2544

Phone

(713) 933-8903

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Faiza Omer Jackson, LCSWNPI 1124314117

Title

Licensed Clinical Social Worker

Phone

(713) 933-8903

Specialties & licenses 1

Addresses

Practitioners 1

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

• Faiza Omer Jackson, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1124314117
  NPD (past) Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1992267454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7644 AUDUBON MEADOW WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062277",
            "telephone_number": "713-933-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 607",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142544",
            "telephone_number": "713-933-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINESCENCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FAIZA",
        "authorized_official_middle_name": "OMER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "713-933-8903",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Xuan Luk, MD
• Maria Christina Lukowsky, M.D.
• Lisa Schiller Lull, MD
• Edina Lulushi, PTA
• Edwin Lumapas, OTR/L
• Marcia Mae Lundin, D.P.T
• Viacheslav S. Lunkin-Elliott, LCSW
• Roman Ma Luo, PHARMD
• Carrie Luong
• Kristin Leigh Lupton, PA-C

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.