Individual provider Active NPI

Emily Van Sickle, MS, CRC, LPC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1144046558
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012284 Issued in VA
Practice address
1504 Santa Rosa Rd RM 208
Richmond, VA 23229-5109
Phone
(804) 288-6272
NPI assigned
Dec 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012284 VA Primary

Addresses

Primary practice location

1504 Santa Rosa Rd RM 208
Richmond, VA 23229-5109

Mailing address

1504 Santa Rosa Rd RM 208
Richmond, VA 23229-5109
Phone (804) 288-6272

Other names 1

  • Emily Huber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701012284VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitative Services & Vocational Placement, Inc. Mental Health CurrentSince Dec 8, 2024 Accepting new patients

Locations

1504 Santa Rosa Rd
Rm 208
Richmond, VA 23229
Phone (804) 288-6272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1144046558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SANTA ROSA RD RM 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295109",
            "telephone_number": "804-288-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SANTA ROSA RD RM 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295109",
            "telephone_number": "804-288-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "EMILY",
        "credential": "MS, CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HUBER",
            "credential": "MS, CRC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 2, 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.