MENTAL HEALTH THERAPY CENTER - NORTHERN VIRGINIA, LLC
NPI 1194566117
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA

Active since June 04, 2024
10721 MAIN ST STE 1300, FAIRFAX, VA 22030(703) 536-2000 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mental Health Therapy Center - Northern Virginia, Llc NPPES

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

MENTAL HEALTH THERAPY CENTER - NORTHERN VIRGINIA, LLC (NPI 1194566117) is a healthcare organization registered as a mental health (including community mental health center) in Fairfax, Virginia and active in the NPI registry since June 2024. The organization lists Mike Gingras, Division Cfo, as its authorized official.

NPPES Registry Identity

NPI1194566117
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENTAL HEALTH THERAPY CENTER - NORTHERN VIRGINIA, LLC
Location Address10721 MAIN ST STE 1300Fairfax, VA 22030-6902
Mailing Address10721 Main St Ste 1300Fairfax, VA 22030-6902
Organization SubpartNo
Authorized OfficialMike GingrasDivision Cfo · (804) 228-4901
Enumeration DateJune 4, 2024
NPPES CertifiedJune 4, 2024
NPI 1194566117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
10721 MAIN ST STE 1300, Fairfax, VA 22030

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 Mental Health Therapy Center - Northern Virginia, LLC's NPI number?

The NPI number for Mental Health Therapy Center - Northern Virginia, LLC is 1194566117. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Mental Health Therapy Center - Northern Virginia, LLC located?

Mental Health Therapy Center - Northern Virginia, LLC is located at 10721 Main St Ste 1300, Fairfax, VA 22030. The listed phone number is (703) 536-2000.

What is Mental Health Therapy Center - Northern Virginia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mental Health Therapy Center - Northern Virginia, LLC was last updated on June 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.