Persimmon Grove Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PERSIMMON GROVE THERAPY LLC

Practice address

1904 Byrd Ave Ste 325
Richmond, VA 23230-3029

Phone

(804) 215-6315

NPI assigned

Dec 3, 2025

Organization subpart

No

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

Authorized official

Name

Angelica Hardianto, LPCNPI 1922785815

Title

Practice Owner

Phone

(804) 215-6315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelica Audrey Hardianto

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1922785815
  NPD Authorized official

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1215890736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11357 NUCKOLS RD # 2205",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 BYRD AVE STE 325",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303029",
            "telephone_number": "804-215-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIMMON GROVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HARDIANTO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "804-215-6315",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Perry, PT, DPT
• Sheila Diane Perry, CPRS, CSAC-A
• Towanda Perry, RRT, RPSGT
• Virgil D Perryman III, LCSW
• Ajin Persaud
• Personal Nursing Services
• Personal Touch Care, LLC (PLS Transportation)
• Perspectives Counseling, LLC
• Shaniqua Pervall
• Megan Pesci, OTD, OTR/L

• 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 Dec 3, 2025; 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.