360 Innovative Therapy LLC
360 Innovative Therapy LLC is a healthcare organization registered as Addiction (Substance Use Disorder) Counselor in Fairfax, VA, holding Type 2 (organization) NPI 1770178816 since 2021. The authorized official on file is Beverly Mcnairy, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770178816 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 360 Innovative Therapy LLC |
| Practice address | 10304 EATON PL STE 100, Fairfax, VA, 22030 |
| Phone | 5715753767 |
| Fax | 8775251222 |
| Enumeration date | 2021-03-01 |
| Last updated in NPPES | 2021-03-01 |
Authorized official
| Name | Beverly Mcnairy |
|---|---|
| Title | Ceo |
| Phone | 5715753767 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101Y00000X | Counselor | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Secondary | — | — |
| 101YS0200X | School Counselor | Secondary | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | — | — |
Copy-ready billing details
Provider: 360 Innovative Therapy LLC NPI: 1770178816 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 10304 EATON PL STE 100, Fairfax, VA, 22030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255629051 | Sharlene Bergeron | Individual | Behavior Analyst | Fairfax, VA |
| 1174928238 | Maura Constance | Individual | Psychiatric/Mental Health Nurse Practitioner | Fairfax, VA |
| 1851762025 | Edward Stern | Individual | Psychiatric/Mental Health Nurse Practitioner | Fairfax, VA |
| 1013410638 | Valerie Keehn | Individual | Behavior Analyst | Fairfax, VA |
| 1467949354 | Suzanne Hughes | Individual | Behavior Analyst | Fairfax, VA |
| 1235731704 | Landstar Medical Transport Inc. | Organization | Non-emergency Medical Transport (VAN) | Fairfax, VA |
| 1477149276 | New Hope Health Co | Organization | Behavior Analyst | Fairfax, VA |
| 1548842370 | Mdwatch Medical Corp. | Organization | Family Medicine Physician | Fairfax, VA |
Verify this record
Cross-check NPI 1770178816 against the authoritative CMS record: view 360 Innovative Therapy LLC 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 is the NPI number for 360 Innovative Therapy LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-03-01.