Organization Active NPI

Revision Counseling, LLC

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1124351432
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004542 Issued in VA
Legal business name
REVISION COUNSELING, LLC
Practice address
3751 Westerre Pkwy Ste B
Richmond, VA 23233-1472
Phone
(804) 972-2329
NPI assigned
Sep 18, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Alyssa Coates, LCSW
Title
Owner
Phone
(804) 972-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904004542 VA Primary

Addresses

Primary practice location

3751 Westerre Pkwy Ste B
Richmond, VA 23233-1472

Mailing address

3751 Westerre Pkwy Ste B
Richmond, VA 23233-1472
Phone (804) 972-2329

National Provider Directory

National Provider Directory

Locations

3751 Westerre Pkwy
Ste B
Richmond, VA 23233
Phone (804) 972-2329

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1124351432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 WESTERRE PKWY STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331472",
            "telephone_number": "804-972-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 WESTERRE PKWY STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331472",
            "telephone_number": "804-972-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-972-2329",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.