St. John'S Community Services- Virginia

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

194-01-001 Issued in VA

Legal business name

ST. JOHN'S COMMUNITY SERVICES- VIRGINIA

Practice address

7611 Little River Turnpike
Suite 404 West
Annandale, VA 22003

Phone

(703) 914-2755

Fax

(703) 914-5437

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Thalia Simpson-Clement

Title

VA. State Director

Phone

(703) 914-2755

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992724561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE 404 WEST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-914-2755",
            "fax_number": "703-914-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 LITTLE RIVER TURNPIKE",
            "address_2": "SUITE 404 WEST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-914-2755",
            "fax_number": "703-914-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S COMMUNITY SERVICES- VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIMPSON-CLEMENT",
        "authorized_official_first_name": "THALIA",
        "authorized_official_title_or_position": "VA. STATE DIRECTOR",
        "authorized_official_telephone_number": "703-914-2755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "194-01-001",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "194-01-001",
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.