Active NPI
Dynasty Counseling Services
- Community/Behavioral Health Agency
- Richmond, VA
National Provider Identifier
1023658242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DYNASTY COUNSELING SERVICES
- Practice address
- 2807 N Parham Rd
Richmond, VA 23294-4410 - Phone
- (804) 426-3405
- NPI assigned
- Jan 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Trevon Keonte Burch, B.S. QMHP
- Title
- Ceo
- Phone
- (804) 426-3405
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2807 N Parham Rd
Richmond, VA 23294-4410
Mailing address
2807 N Parham Rd
Richmond, VA 23294-4410
Phone (804) 426-3405
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731196800000",
"number": "1023658242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 N PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944410",
"telephone_number": "804-426-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 N PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944410",
"telephone_number": "804-426-3405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNASTY COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2024-11-10",
"certification_date": "2024-11-10",
"status": "A",
"authorized_official_last_name": "BURCH",
"authorized_official_first_name": "TREVON",
"authorized_official_middle_name": "KEONTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-426-3405",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.S. QMHP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.