Organization Active NPI

Red Ginkgo Counseling

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1225950843
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RED GINKGO COUNSELING
Practice address
302 Hickman Rd Ste 101
Charlottesville, VA 22911-3572
Phone
(434) 207-2334
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Matthew T Fowler, LPC
Title
Owner
Phone
(434) 207-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

302 Hickman Rd Ste 101
Charlottesville, VA 22911-3572

Mailing address

302 Hickman Rd Ste 101
Charlottesville, VA 22911-3572
Phone (434) 207-2334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1225950843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HICKMAN RD STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113572",
            "telephone_number": "434-207-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HICKMAN RD STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113572",
            "telephone_number": "434-207-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED GINKGO COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-207-2334",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.