Active NPI
Puryear Wellness Services LLC
- Mental Health Counselor
- Midlothian, VA
National Provider Identifier
1073313656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PURYEAR WELLNESS SERVICES LLC
- Practice address
- 4906 Millridge Pkwy E
Midlothian, VA 23112-4828 - Phone
- (804) 631-3255
- NPI assigned
- Mar 13, 2025
- 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
- John Wade Puryear, LPC
- Title
- President
- Phone
- (804) 631-3255
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4906 Millridge Pkwy E
Midlothian, VA 23112-4828
Mailing address
4906 Millridge Pkwy E
Midlothian, VA 23112-4828
Phone (804) 631-3255
National Provider Directory
National Provider DirectoryLocations
4920 Millridge Pkwy E
Ste 210
Midlothian, VA 23112
Phone (434) 414-4130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Chesterfield, VA
- NPI 1497308274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1073313656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4906 MILLRIDGE PKWY E",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124828",
"telephone_number": "804-631-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 MILLRIDGE PKWY E",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124828",
"telephone_number": "804-631-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURYEAR WELLNESS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "PURYEAR",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WADE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-631-3255",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.