Organization Active NPI

Anew Living LLC

  • Mental Health Counselor
  • South Chesterfield, VA
National Provider Identifier
1144727389
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2989 Issued in VA
Legal business name
ANEW LIVING LLC
Practice address
21206 Chesterfield Ave Ste B
South Chesterfield, VA 23803-1920
Phone
(804) 451-9939
NPI assigned
Apr 12, 2018
Last updated
Apr 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Authorized official

Name
Ms. Latoya L Green, QMHP
Title
Ceo/Program Director
Phone
(804) 451-9939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2989 VA Primary

Addresses

Primary practice location

21206 Chesterfield Ave Ste B
South Chesterfield, VA 23803-1920

Mailing address

21206 Chesterfield Ave Ste B
South Chesterfield, VA 23803-1920
Phone (804) 451-9939

Other identifiers 1

IdentifierTypeStateIssuer
2989MedicaidVA

National Provider Directory

National Provider Directory

Locations

21206 Chesterfield Ave
Ste B
South Chesterfield, VA 23803
Phone (804) 451-9939

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1144727389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21206 CHESTERFIELD AVE STE B",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238031920",
            "telephone_number": "804-451-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21206 CHESTERFIELD AVE STE B",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238031920",
            "telephone_number": "804-451-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-451-9939",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "2989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2989",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.