1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Marriage Family Therapist
  6. NPI Profile

LIFELINE PSYCHOTHERAPY SERVICES
NPI 1417469974
Marriage & Family Therapist in Fairfax, VA

Active since October 24, 2017
11350 RANDOM HILLS RD STE 800, FAIRFAX, VA 22030(703) 409-6258 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Psychotherapy Services NPPES

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

LIFELINE PSYCHOTHERAPY SERVICES (NPI 1417469974) is a healthcare organization registered as a marriage & family therapist in Fairfax, Virginia and active in the NPI registry since October 2017. The organization lists Hoang Oanh Rodgers, Owner, as its authorized official.

NPPES Registry Identity

NPI1417469974
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameLIFELINE PSYCHOTHERAPY SERVICES
Location Address11350 RANDOM HILLS RD STE 800Fairfax, VA 22030-6044
Mailing Address12646 Heron Ridge DrFairfax, VA 22030-6638 · (703) 409-6258
Phone(703) 409-6258
Organization SubpartNo
Authorized OfficialHoang Oanh RodgersOwner · (703) 409-6258
Enumeration DateOctober 24, 2017
✔ NPI 1417469974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in VA · 0717000800
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0710000893 (VA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701002418 (VA)
11350 RANDOM HILLS RD STE 800, Fairfax, VA 22030
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

JESSYGARCARE
Nurse's Aide
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (571) 549-0040
JORDAN RUDAT
Behavior Technician
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (301) 444-5001
KATALYST HEALTHCARE CORPORATION
Clinic/Center (Health Service)
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (202) 734-1298
EVERNORTH CARE PROVIDERS - TENNESSEE PC
General Practice
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (773) 292-4800
MARCI DIANNE SMITH LCSW
Social Worker (Clinical)
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (571) 517-1363
CHESAPEAKE DME LLC
Durable Medical Equipment & Medical Supplies
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (888) 797-0057
KONE MOLECULAR LABS LLC
Clinical Medical Laboratory
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (888) 981-8777
SENIORS HOME ASSISTANCE, LLC
Home Health
11350 RANDOM HILLS RD STE 800
FAIRFAX, VA 22030
Fairfax City (855) 274-5000

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 Lifeline Psychotherapy Services's NPI number?

The NPI number for Lifeline Psychotherapy Services is 1417469974. It was assigned to this organization in the NPPES registry on October 24, 2017.

Where is Lifeline Psychotherapy Services located?

Lifeline Psychotherapy Services is located at 11350 Random Hills Rd Ste 800, Fairfax, VA 22030. The listed phone number is (703) 409-6258.

What is Lifeline Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Lifeline Psychotherapy Services was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.