| Healthy Minds Therapy Pllc | |
|
2121 Eisenhower Ave Ste 501 Alexandria VA 22314-4688 | |
| (540) 845-6940 | |
| Not Available |
| Full Name | Healthy Minds Therapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2121 Eisenhower Ave Ste 501, Alexandria, Virginia |
| Authorized Official Name and Position | Alycia Burant (OWNER) |
| Authorized Official Contact | 7033803345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Therapy Pllc 2121 Eisenhower Ave Ste 501 Alexandria VA 22314-4688 Ph: (540) 845-6940 | Healthy Minds Therapy Pllc 2121 Eisenhower Ave Ste 501 Alexandria VA 22314-4688 Ph: (540) 845-6940 |
| NPI Number | 1831606730 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 0941720577 |
|---|---|
| Medicare Enrollment ID | O20250225003862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831606730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
| Provider Name | Kristen Ritenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629765813 PECOS PAC ID: 9032575345 Enrollment ID: I20230608002687 |
| Provider Name | Alycia Gayle Burant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013349232 PECOS PAC ID: 1850811480 Enrollment ID: I20250225003983 |
| Provider Name | Heather Hayden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194532747 PECOS PAC ID: 6406378256 Enrollment ID: I20250320003599 |
| Provider Name | Chelsea Garcia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265131718 PECOS PAC ID: 3274055892 Enrollment ID: I20250324001096 |
| Provider Name | John Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386298396 PECOS PAC ID: 3274056700 Enrollment ID: I20250326000004 |
| Provider Name | Carolyn Stephanie Alvarado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497331367 PECOS PAC ID: 6002339280 Enrollment ID: I20250328000052 |
| Provider Name | Jasmine Nicole Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780216671 PECOS PAC ID: 0840713988 Enrollment ID: I20250328002313 |
| Provider Name | Jessica Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780370726 PECOS PAC ID: 4688197742 Enrollment ID: I20250328002744 |
| Provider Name | Shelton Piland Poulter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780395178 PECOS PAC ID: 0345763413 Enrollment ID: I20250328002991 |
| Provider Name | Christine Elise Heyn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427498948 PECOS PAC ID: 5092238170 Enrollment ID: I20250328003432 |
| Provider Name | David S Belles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306693403 PECOS PAC ID: 5991228074 Enrollment ID: I20250328003452 |
| Provider Name | Ching Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851814743 PECOS PAC ID: 7315460433 Enrollment ID: I20250331000854 |
| Provider Name | Kristen Ninosky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023742137 PECOS PAC ID: 0042733982 Enrollment ID: I20250401001330 |
| Provider Name | Grace Kim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598397234 PECOS PAC ID: 2264955079 Enrollment ID: I20250401003347 |
| Provider Name | Ann-marie M Wingerter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023754108 PECOS PAC ID: 8921522400 Enrollment ID: I20250407000178 |
| Provider Name | Margaret Kappler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649816364 PECOS PAC ID: 8325562259 Enrollment ID: I20250411002369 |
| Provider Name | Michael Emerson Deitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912506460 PECOS PAC ID: 9739603614 Enrollment ID: I20250413000057 |
| Provider Name | Reland Luisa Finch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871105627 PECOS PAC ID: 4183149594 Enrollment ID: I20250417003616 |
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