Organization Active NPI

Pathos Counseling and Wellness LLC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1013602242
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHOS COUNSELING AND WELLNESS LLC
Practice address
8401 Mayland Dr Ste 4191
Richmond, VA 23294-4648
Phone
(757) 667-0615
Fax
(850) 344-1312
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Reta Selitto, LPCNPI 1932870748
Title
Licensed Professional Counselor
Phone
(434) 844-1206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8401 Mayland Dr Ste 4191
Richmond, VA 23294-4648

Mailing address

2318 Cloudberry Dr
Gulf Breeze, FL 32563-9791
Phone (434) 844-1206

Other identifiers 1

IdentifierTypeStateIssuer
1932870748MedicaidVA

Other names 1

  • Lighthouse Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

8401 Mayland Dr
Ste 4191
Richmond, VA 23294
Phone (757) 667-0615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1013602242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 CLOUDBERRY DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639791",
            "telephone_number": "434-844-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE 4191",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "757-667-0615",
            "fax_number": "850-344-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOS COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "SELITTO",
        "authorized_official_first_name": "RETA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "434-844-1206",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932870748",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.