Organization Active NPI

Prominent Counseling Services, LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
National Provider Identifier
1093282790
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROMINENT COUNSELING SERVICES, LLC
Practice address
555 Southlake Blvd Ste D
North Chesterfield, VA 23236-3060
Phone
(804) 716-8908
Fax
(866) 216-5506
NPI assigned
Oct 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Angela Frederick
Title
Ceo
Phone
(804) 716-8908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

555 Southlake Blvd Ste D
North Chesterfield, VA 23236-3060

Mailing address

555 Southlake Blvd Ste D
North Chesterfield, VA 23236-3060
Phone (804) 716-8908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240611000307 VA Part B Supplier - Clinic/Group Practice 4688116213 Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

8014 Midlothian Tpke
Ste 315
North Chesterfield, VA 23235
Phone (804) 519-3053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1093282790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD STE D",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-716-8908",
            "fax_number": "866-216-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD STE D",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-716-8908",
            "fax_number": "866-216-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-716-8908"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.