CNC Clinical Services Direct

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CNC CLINICAL SERVICES DIRECT

Practice address

3724 Cottrell Rd
Richmond, VA 23234-2934

Phone

(804) 743-2922

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Burnette S Sales

Title

Executive Director

Phone

(804) 743-2922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1184801466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 COTTRELL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232342934",
            "telephone_number": "804-743-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 COTTRELL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232342934",
            "telephone_number": "804-743-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNC CLINICAL SERVICES DIRECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SALES",
        "authorized_official_first_name": "BURNETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-743-2922"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.