Collaborative Pain Management, Pllc
Collaborative Pain Management, Pllc is a healthcare organization registered as Pain Medicine Physician in Fairfax, VA, holding Type 2 (organization) NPI 1356947295 since 2020. The authorized official on file is Michelle Jacques, Managing Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356947295 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Collaborative Pain Management, Pllc |
| Practice address | 10400 EATON PL STE 312, Fairfax, VA, 22030 |
| Phone | 7032616758 |
| Fax | 7039954860 |
| Enumeration date | 2020-12-07 |
| Last updated in NPPES | 2020-12-07 |
Authorized official
| Name | Michelle Jacques |
|---|---|
| Title | Managing Member |
| Phone | 7032616758 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP3300X | Pain Clinic/Center | Secondary | — | — |
| 208VP0000X | Pain Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Collaborative Pain Management, Pllc NPI: 1356947295 Taxonomy: 208VP0000X (Pain Medicine Physician) Address: 10400 EATON PL STE 312, Fairfax, VA, 22030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174523997 | Landon Owen | Individual | Physical Therapist | Fairfax, VA |
| 1194172726 | Michelle Jacques | Individual | Nurse Practitioner | Fairfax, VA |
Verify this record
Cross-check NPI 1356947295 against the authoritative CMS record: view Collaborative Pain Management, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Collaborative Pain Management, Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-07.