Organization Active NPI

Dynasty Counseling Services

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1023658242
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Nov 10, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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": []
}

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 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.

Verify at the official NPI Registry.