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AQUILA RECOVERY OF VIRGINIA LLC
NPI 1396388930
Counselor - Addiction (Substance Use Disorder) in Herndon, VA

Active since October 28, 2019CLIA 49D2158043 · Waiver
425 CARLISLE DR STE B, HERNDON, VA 20170(703) 464-5122 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aquila Recovery Of Virginia Llc NPPES

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

AQUILA RECOVERY OF VIRGINIA LLC (NPI 1396388930) is a healthcare organization registered as an addiction (substance use disorder) in Herndon, Virginia and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Robert R Coffey, Owner, as its authorized official.

NPPES Registry Identity

NPI1396388930
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameAQUILA RECOVERY OF VIRGINIA LLC
Location Address425 CARLISLE DR STE BHerndon, VA 20170-5618
Mailing Address425 Carlisle Dr Ste BHerndon, VA 20170-5618 · (703) 464-5122
Phone(703) 464-5122
Organization SubpartNo
Authorized OfficialRobert R CoffeyOwner · (703) 464-5122
Enumeration DateOctober 28, 2019
✔ NPI 1396388930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
425 CARLISLE DR STE B, Herndon, VA 20170
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2158043

Aquila Recovery Of Virginia · Herndon, VA
Active · expires Nov 18, 2026
CLIA Number49D2158043
Laboratory TypePractitioner Other
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorLarry H. Pastor
Laboratory Phone(703) 464-5122
Laboratory LocationAquila Recovery Of Virginia425- B Carlisle Dr, Herndon, VA 20170
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. DAWN WALTER LCSW
Social Worker (Clinical)
425 CARLISLE DR STE B
HERNDON, VA 20170
Fairfax County (703) 467-9036
DESI FARREN C.A.C. & ASSOCIATES
Counselor (Addiction (Substance Use Disorder))
425 CARLISLE DR STE B
HERNDON, VA 20170
Fairfax County (703) 464-5122
KERRIE MICHELLE LAUGHLIN CSAC, LPC
Counselor (Professional)
425 CARLISLE DR STE B
HERNDON, VA 20170
Fairfax County (703) 464-5122

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 Aquila Recovery Of Virginia LLC's NPI number?

The NPI number for Aquila Recovery Of Virginia LLC is 1396388930. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Aquila Recovery Of Virginia LLC located?

Aquila Recovery Of Virginia LLC is located at 425 Carlisle Dr Ste B, Herndon, VA 20170. The listed phone number is (703) 464-5122.

What is Aquila Recovery Of Virginia LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Aquila Recovery Of Virginia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2158043) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aquila Recovery Of Virginia LLC was last updated on October 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.