FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD
NPI 1154356244
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA
NPI Status: Active since July 11, 2006
Contact Information
12011 GOVERNMENT CENTER PARKWAY
SUITE 836
FAIRFAX, VA
ZIP 22035
Phone: (703) 324-7000
Fax: (703) 653-6626
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 49D2205786
- CLIA Cert. Type: Other - CSB
- CLIA Exp. Date: 12-15-2026
About FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD
This page provides the complete NPI Profile along with additional information for Fairfax-falls Church Community Services Board, a provider established in Fairfax, Virginia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1154356244 assigned on July 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Fairfax-falls Church Community Services Board. The authorized official of this NPI record is Daryl Washington (Executive Director)
- NPI
- 1154356244
- Provider Legal Name
- FAIRFAX COUNTY, VIRGINIA
- Other Organization Name
- FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12011 GOVERNMENT CENTER PARKWAY SUITE 836 FAIRFAX, VA 22035
- Location Phone
- (703) 324-7000
- Location Fax
- (703) 653-6626
- Mailing Address
- 12011 GOVERNMENT CENTER PARKWAY SUITE 836 FAIRFAX, VA 22035
- Mailing Phone
- (703) 324-7000
- Mailing Fax
- (703) 653-6626
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2006
- Last Update Date
- 10-01-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | 113 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 541705851 | OTHER (01) | TRICARE | |
| 004945107 | MEDICAID (05) | VA | |
| MHSS | OTHER (01) | VA | AMERIGROUP |
| 010200229 | MEDICAID (05) | VA | |
| 5700 | OTHER (01) | CAREFIRST BCBS NCA | |
| 008743126 | MEDICAID (05) | VA | |
| 222044 | OTHER (01) | VA | ANTHEM |
| 010200181 | MEDICAID (05) | VA | |
| 010200270 | MEDICAID (05) | VA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2205786
- Facility Type
- Other - CSB
- Certificate Effective Date
- December 16, 2024
- Certificate Expiration Date
- December 15, 2026
- Laboratory Director
- COLTON J. HAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fairfax-falls Church Community Services Board to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 5 | 6 | 2 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 5 | 12 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 5 + 1 + 2 + 2 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1154356244 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336868660 | DIRECTOR OF FINANCE - COUNTY OF FAIRFAX VA Organization | Clinic/Center (Adult Day Care) | 12011 GOVERNMENT CENTER PARKWAY SUITE 1050 FAIRFAX, VA 22035 (703) 324-5570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154356244, enumerated in the NPI registry as an "organization" on July 11, 2006
The provider is located at 12011 Government Center Parkway Suite 836 Fairfax, Va 22035 and the phone number is (703) 324-7000
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider might be accepting Accepts: Tricare, Medicare, Medicaid, Amerigroup, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 49D2205786 for a "other - csb" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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