NPIMap

Organization Active NPI

Partners in Covenant Agreement

  • Mental Health Occupational Therapist
  • Midlothian, VA
National Provider Identifier
1104668334
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
PARTNERS IN COVENANT AGREEMENT
Practice address
208 Lancaster Gate Dr Apt 104
Midlothian, VA 23113-6885
Phone
(434) 218-3011
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Kimberly Deion Courtney, LPCNPI 1295593861
Title
Clinician
Phone
(434) 218-3011

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)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XM0800X Primary

Addresses

Primary practice location

208 Lancaster Gate Dr Apt 104
Midlothian, VA 23113-6885

Mailing address

208 Lancaster Gate Dr Apt 104
Midlothian, VA 23113-6885
Phone (434) 218-3011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1104668334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LANCASTER GATE DR APT 104",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136885",
            "telephone_number": "434-218-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LANCASTER GATE DR APT 104",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136885",
            "telephone_number": "434-218-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN COVENANT AGREEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DEION",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "434-218-3011",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, 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 Jun 10, 2024; 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.