Organization Active NPI

Gaines Counseling and Consulting Services

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1114466257
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701005533 Issued in VA
Legal business name
GAINES COUNSELING AND CONSULTING SERVICES
Practice address
4301 Mast Head Way
Chesapeake, VA 23321-3254
Phone
(404) 725-5809
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dr. Jeanette Gaines
Title
Licensed Professional Counselor
Phone
(404) 725-5809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0701005533 VA Primary

Addresses

Primary practice location

4301 Mast Head Way
Chesapeake, VA 23321-3254

Mailing address

4301 Mast Head Way
Chesapeake, VA 23321-3254
Phone (404) 725-5809

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1114466257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MAST HEAD WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213254",
            "telephone_number": "404-725-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MAST HEAD WAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213254",
            "telephone_number": "404-725-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINES COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-725-5809",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701005533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.