Provider Demographics
NPI:1194324038
Name:FELLS, AIGNER (MS,NCC)
Entity type:Individual
Prefix:
First Name:AIGNER
Middle Name:
Last Name:FELLS
Suffix:
Gender:F
Credentials:MS,NCC
Other - Prefix:MRS
Other - First Name:AIGNER
Other - Middle Name:
Other - Last Name:FELLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BEYOND INFINITY LLC
Mailing Address - Street 1:1629 K ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1602
Mailing Address - Country:US
Mailing Address - Phone:571-477-3273
Mailing Address - Fax:
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:571-477-3273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
DCPRC15520101YM0800X
VA07010004104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional