Individual provider Active NPI

Farheen Naveed Nuckolls, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Richmond, VA
National Provider Identifier
1023876166
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710103850 Issued in VA
Practice address
1301 N 33Rd St
Richmond, VA 23223-6898
Phone
(804) 298-9724
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1796 TN
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103850 VA Primary

Addresses

Primary practice location

1301 N 33Rd St
Richmond, VA 23223-6898

Mailing address

1301 N 33Rd St
Richmond, VA 23223-6898
Phone (804) 298-9724

Other practice location 1

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

Other practice location 2

249 Central Park Ave Ste 300-161
Virginia Beach, VA 23462-3099
Phone (757) 785-0500

Other practice location 3

3101 Lee Highway
Bristol, VA 24201-5944
Phone (276) 967-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240501003559 VA Practitioner - Mental Health Counselor 6901246339 Reassigns benefits to 1 organization
I20251013002917 TN Practitioner - Mental Health Counselor 6901246339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 N 33Rd St
Richmond, VA 23223-6898

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Addiction Specialists LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560

3101 Lee Hwy
Bristol, VA 24202
Phone (276) 967-6000

3046 Carlbrook Rd
South Boston, VA 24592
Phone (434) 476-1427

249 Central Park Ave
Ste 300161
Virginia Beach, VA 23462
Phone (615) 994-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEACDD/Endpoint/JEACDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1023876166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 33RD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236898",
            "telephone_number": "804-298-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 33RD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236898",
            "telephone_number": "804-298-9724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 Virginia Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277611",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Central Park Ave Ste 300-161",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623099",
            "country_code": "US",
            "telephone_number": "757-785-0500",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Lee Highway",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "VA",
            "postal_code": "242015944",
            "country_code": "US",
            "telephone_number": "276-967-6000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUCKOLLS",
        "first_name": "FARHEEN",
        "middle_name": "NAVEED",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1796",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.