Cheryl Outen PHD LPC LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHERYL OUTEN PHD LPC LLC

Practice address

6802 Paragon PL Ste 410
Richmond, VA 23230-1655

Phone

(804) 214-6363

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl Outen, LPCNPI 1467995506

Title

Ceo/Owner

Phone

(804) 214-6363

Specialties & licenses 1

Addresses

Other names 1

• Mosaic Healing Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Outen, LPC

  • Professional Counselor
  • Richmond, VA
  • NPI 1467995506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1083257919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 PARAGON PL STE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301655",
            "telephone_number": "804-214-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 PARAGON PL STE 410",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301655",
            "telephone_number": "804-214-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL OUTEN PHD LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "OUTEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "804-214-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Cherry
• Kareema Cherry
• Cherrydale Pediatrics PLLC
• Cheryl Griffin-Threatt
• Cheryl M Belle MD P C
• Taylor Cheski
• Alden E Chesney, MD
• Chesterfield Community Services Board-Infant Program
• Chesterfield Dental Center
• Chesterfield Dental Center PLLC

• Professional Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.