Soaring for Change Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701006414 Issued in VA

Legal business name

SOARING FOR CHANGE COUNSELING SERVICES, LLC

Practice address

3320 Plowfield CT
Richmond, VA 23223-1272

Phone

(804) 683-8731

Fax

(804) 225-8688

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Rasha Nickera Hicks, LPCNPI 1669839015

Title

Executive Director

Phone

(804) 683-8731

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Rasha Hicks

  • Professional Counselor
  • Richmond, VA
  • NPI 1669839015
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1104283191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PLOWFIELD CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231272",
            "telephone_number": "804-683-8731",
            "fax_number": "804-225-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PLOWFIELD CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231272",
            "telephone_number": "804-683-8731",
            "fax_number": "804-225-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING FOR CHANGE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RASHA",
        "authorized_official_middle_name": "NICKERA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-683-8731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701006414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hyun Jin So, MD
• Soar 365
• Soar 365
• Soar 365 Employment Access LLC
• Soaring for Better Health, LLC
• Thomas J. Sobieski, M.D.
• Sobright Recovery and Rehabilitation LLC
• Sodality Respite Inc
• Gretchen Sodamann, LCSW
• Muhammad Sohawon, OD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.