Convergence Mental Performance And Preparation Lab - Mental Health Clinic in Fairfax, VA

Convergence Mental Performance And Preparation Lab is a mental health clinic (Social Worker - Clinical) in Fairfax, Virginia. The current practice location for Convergence Mental Performance And Preparation Lab is 4000 Legato Rd Ste 1100, Fairfax, Virginia. For appointments, you can reach them via phone at (571) 336-2272. The mailing address for Convergence Mental Performance And Preparation Lab is 15000 Potomac Town Pl Ste 100-151, Woodbridge, Virginia and phone number is (571) 336-2272.

Convergence Mental Performance And Preparation Lab is licensed to practice in * (Not Available) (license number ) and its NPI number is 1346015815. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (571) 336-2272.

Contact Information

Convergence Mental Performance And Preparation Lab
4000 Legato Rd Ste 1100
Fairfax
VA 22033-2893
(571) 336-2272
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameConvergence Mental Performance And Preparation Lab
SpecialitySocial Worker - Clinical
Location4000 Legato Rd Ste 1100, Fairfax, Virginia
Authorized Official Name and PositionTawana Butler (OWNER/CEO)
Authorized Official Contact8179135428
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Convergence Mental Performance And Preparation Lab
15000 Potomac Town Pl Ste 100-151
Woodbridge
VA 22191-6586

Ph: (571) 336-2272
Convergence Mental Performance And Preparation Lab
4000 Legato Rd Ste 1100
Fairfax
VA 22033-2893

Ph: (571) 336-2272

NPI Details:

NPI Number1346015815
Provider Enumeration Date11/15/2023
Last Update Date11/15/2023
Certification Date11/15/2023

Medical Identifiers

Medical identifiers for Convergence Mental Performance And Preparation Lab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346015815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
103TE1100XPsychologist - Exercise & Sports (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.