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GINKGO ART THERAPY LLC
NPI 1629815410
Counselor - Professional in Fairfax, VA

Active since July 10, 2024
10617 JONES ST STE 301B, FAIRFAX, VA 22030(202) 670-3505 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, Feb 24, 2025, Jul 10, 2024 (3 updates tracked since 2024).

About Ginkgo Art Therapy Llc NPPES

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

GINKGO ART THERAPY LLC (NPI 1629815410) is a healthcare organization registered as a professional in Fairfax, Virginia and active in the NPI registry since July 2024. The organization lists Elizabeth Kim, Ceo, Therapist, as its authorized official.

NPPES Registry Identity

NPI1629815410
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGINKGO ART THERAPY LLC
Location Address10617 JONES ST STE 301BFairfax, VA 22030-7524
Mailing Address10617 Jones St Ste 301bFairfax, VA 22030-7524
Phone(202) 670-3505
Organization SubpartNo
Authorized OfficialElizabeth KimCeo, Therapist · (202) 670-3505
Enumeration DateJuly 10, 2024
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1629815410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
10617 JONES ST STE 301B, Fairfax, VA 22030
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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

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 Ginkgo Art Therapy LLC's NPI number?

The NPI number for Ginkgo Art Therapy LLC is 1629815410. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Ginkgo Art Therapy LLC located?

Ginkgo Art Therapy LLC is located at 10617 Jones St Ste 301B, Fairfax, VA 22030. The listed phone number is (202) 670-3505.

What is Ginkgo Art Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Ginkgo Art Therapy LLC was last updated on September 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.