Individual provider Active NPI

Jason Schultz

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1174311724
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0717002405 Issued in VA
Practice address
6010 W Broad St Ste 103
Richmond, VA 23230-2215
Phone
(804) 282-1863
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 0717002405 VA Primary

Addresses

Primary practice location

6010 W Broad St Ste 103
Richmond, VA 23230-2215

Mailing address

4741 Roxbury Rd
Charles City, VA 23030-2239
Phone (973) 229-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718000475 VA Practitioner - Marriage and Family Therapist 4880100767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
We Help Our AdolescentsGroup PAC ID 1850790957, 20 clinicians

Practice addresses (Care Compare)

6010 W Broad St
Suite 103
Richmond, VA 23230-2215
Phone (804) 306-3219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
We Help Our Adolescents CurrentSince Jun 2, 2025 Accepting new patients

Locations

6010 W Broad St
Ste 103
Richmond, VA 23230
Phone (804) 282-1863

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1174311724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 ROXBURY RD",
            "city": "CHARLES CITY",
            "state": "VA",
            "postal_code": "230302239",
            "telephone_number": "973-229-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W BROAD ST STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302215",
            "telephone_number": "804-282-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0717002405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.