Active NPI
Revision Counseling, LLC
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1124351432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004542
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.