Vanessa Johnson
Individual provider Active NPI Professional Counselor · Quinton, VA
NPI 1194436261 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1194436261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701012594 (VA)
- Practice address
- 6910 Old Roxbury Rd
Quinton, VA 23141-1400 - Phone
- (804) 651-0777
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thrive Counseling LLC
Practice addresses (Care Compare)
1901 E Franklin St
Suite 108
Richmond, VA 23223-6966
Phone (855) 284-7483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916001056 | VA | Practitioner - Mental Health Counselor | 3173064391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704012717 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current |
Accepting new patients |
Locations
1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012594 | VA | Yes |
| Professional Counselor | 101YP2500X | 0704012717 | VA |
Addresses
Primary practice location
6910 Old Roxbury Rd
Quinton, VA 23141-1400
Mailing address
PO Box 615
Quinton, VA 23141-0615
Phone (804) 651-0777
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vanessa.johnson@thriveworks.com | Direct | thriveworks counseling llc |
| CONNECT URL | vanessa.johnson@thriveworks.com | Direct | thriveworks counseling llc |
Other providers in Quinton, VA
- Heal Health Orthopaedics and Urgent Care Clinics PLLC
- Krysten Marie Herrero
- William Jordan Hill
- Judith Elaine Houston
- Hillary Louise Hudgins
- Kenneth a. Yorgey DMD PC
- Marietah Kilundo
- Brie King-Woods
- Jacqueline M Kowal
- Loan H Lieu
All providers in Quinton, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.