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PROSPERITY EATING DISORDER AND WELLNESS
NPI 1043613474
Clinic/Center - Adolescent and Children Mental Health in Reston, VA

Active since September 30, 2014
1897 PRESTON WHITE DR STE 300, RESTON, VA 20191(703) 466-5150(703) 649-3599 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, May 1, 2024, Sep 27, 2021 (3 updates tracked since 2021).

About Prosperity Eating Disorder And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPERITY EATING DISORDER AND WELLNESS (NPI 1043613474) is a healthcare organization registered as an adolescent and children mental health in Reston, Virginia and active in the NPI registry since September 2014. The organization lists Heather Nelson Baker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043613474
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePROSPERITY EATING DISORDER AND WELLNESS
Location Address1897 PRESTON WHITE DR STE 300Reston, VA 20191-5479
Mailing Address1897 Preston White Dr Ste 300Reston, VA 20191-5479 · (703) 466-5150 · Fax (703) 649-3559
Phone(703) 466-5150
Fax(703) 649-3599
Organization SubpartNo
Authorized OfficialHeather Nelson BakerCeo · (703) 466-5150
Enumeration DateSeptember 30, 2014
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1043613474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1897 PRESTON WHITE DR STE 300, Reston, VA 20191
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELENA DANDAN MEAD MA
Counselor (Mental Health)
1897 PRESTON WHITE DR STE 300
RESTON, VA 20191
Fairfax County (703) 589-6826
REAGEN AMAND MS, RDN
Dietitian, Registered
1897 PRESTON WHITE DR STE 300
RESTON, VA 20191
Fairfax County (703) 466-5150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosperity Eating Disorder And Wellness's NPI number?

The NPI number for Prosperity Eating Disorder And Wellness is 1043613474. It was assigned to this organization in the NPPES registry on September 30, 2014.

Where is Prosperity Eating Disorder And Wellness located?

Prosperity Eating Disorder And Wellness is located at 1897 Preston White Dr Ste 300, Reston, VA 20191. The listed phone number is (703) 466-5150.

What is Prosperity Eating Disorder And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Prosperity Eating Disorder And Wellness was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.