Therapeutic in Home Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1261 Issued in VA

Legal business name

THERAPEUTIC IN HOME COUNSELING

Practice address

1949 Vesonder Rd
Petersburg, VA 23805-2933

Phone

(804) 640-2101

Fax

(877) 879-6336

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Miss Lisa Smith

Title

House Supervisor

Phone

(804) 640-2101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1063669414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 VESONDER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052933",
            "telephone_number": "804-722-1185",
            "fax_number": "877-879-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 VESONDER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052933",
            "telephone_number": "804-640-2101",
            "fax_number": "877-879-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC IN HOME COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "HOUSE SUPERVISOR",
        "authorized_official_telephone_number": "804-640-2101",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "1261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Learning and Integrating New Knowledge and Skills Center, Inc. (T
• The Olivia Taylor House, LLC
• The Outreach Foundation, LLC
• The Petersburg Smile Center, P.C.
• Dimitrios Theodoridis, M.D.
• Harindran Theruvath, M.D.
• Thisability Community Engagement
• Chiquita Michone Thomas-Jackson, NP
• Michael Anthony Thomas, LPC
• Ina Thompson, MA, LPC

• Mental Health Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.