Convergence Mental Performance and Preparation Lab
NPI 1346015815 · Clinical Social Worker · Fairfax, VA
Convergence Mental Performance and Preparation Lab is a Clinical Social Worker organization in Fairfax, VA (NPI 1346015815).
Provider details
- NPI number
- 1346015815
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tawana Butler, Owner/Ceo(817) 913-5428
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Exercise & Sports Psychologist103TE1100X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Convergence Mental Performance Lab
- Doing business as
- Convergence Prep
Registry dates
- Enumerated
- 2023-11-15
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Frequently asked questions
- What is Convergence Mental Performance and Preparation Lab's NPI number?
- Convergence Mental Performance and Preparation Lab's National Provider Identifier (NPI) is 1346015815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Convergence Mental Performance and Preparation Lab?
- Convergence Mental Performance and Preparation Lab is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Convergence Mental Performance and Preparation Lab located?
- Convergence Mental Performance and Preparation Lab's practice location on file with NPPES is 4000 Legato Rd Ste 1100, Fairfax, VA 22033-2893.
- What is Convergence Mental Performance and Preparation Lab's phone number?
- The practice phone number listed in the NPPES registry for Convergence Mental Performance and Preparation Lab is (571) 336-2272.
- Who is the authorized official for Convergence Mental Performance and Preparation Lab?
- The authorized official listed on Convergence Mental Performance and Preparation Lab's NPPES record is Tawana Butler, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Convergence Mental Performance and Preparation Lab's NPI active?
- Yes — Convergence Mental Performance and Preparation Lab's NPI (1346015815) is active in the NPPES registry as of the last update on 2023-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.