NPIMap

Organization Active NPI

Augusta Counseling Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Verona, VA
National Provider Identifier
1164046397
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
AUGUSTA COUNSELING GROUP
Practice address
113 Mill Place Pkwy Unit 105
Verona, VA 24482-2662
Phone
(267) 733-2656
NPI assigned
Jun 3, 2020
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Matthew Swartzentruber, M.A., ED.S., LPCNPI 1194348607
Title
Licensed Professional Counselor
Phone
(267) 733-2656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

113 Mill Place Pkwy Unit 105
Verona, VA 24482-2662

Mailing address

113 Mill Place Pkwy Unit 105
Verona, VA 24482-2662
Phone (267) 733-2656

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://jlh.carepaths.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

113 Mill Place Pkwy
Unit 105
Verona, VA 24482
Phone (267) 733-2656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1164046397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MILL PLACE PKWY UNIT 105",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822662",
            "telephone_number": "267-733-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MILL PLACE PKWY UNIT 105",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244822662",
            "telephone_number": "267-733-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "SWARTZENTRUBER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "267-733-2656",
        "authorized_official_credential": "M.A., ED.S., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://jlh.carepaths.com/",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "113 Mill Place Pkwy Unit 105",
            "city": "Verona",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244822662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.