360 Innovative Therapy LLC
NPI 1770178816ActiveOrganization· Counselor, Addiction (Substance Use Disorder)· Fairfax, VA
Counselor, Addiction (Substance Use Disorder) in Fairfax, Virginia, registered in NPPES in March 2021. The authorized official on file is Beverly McNairy, ED.M., Ceo.
Overview
| NPI | 1770178816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2021 |
| Last updated in NPPES | Mar 1, 2021 |
| Certified by provider | Feb 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
| Counselor | 101Y00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, School | 101YS0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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