NPIMap

Organization Active NPI

Resilience Counseling & Social Skills Center LLC

Doing business as Resilience Counseling & Social Skills Center

  • Professional Counselor
  • Midlothian, VA
National Provider Identifier
1245724707
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESILIENCE COUNSELING & SOCIAL SKILLS CENTER LLC
Doing business as
Resilience Counseling & Social Skills Center
Practice address
6524 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone
(540) 699-0226
Fax
(540) 699-0224
NPI assigned
Jun 19, 2018
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Mr. Karl George Memmer, MS,LPCNPI 1992247548
Title
Owner/LPC
Phone
(540) 699-0226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

6524 Woodlake Village Cir
Midlothian, VA 23112-2200

Mailing address

6524 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (540) 699-0226

Other practice location 1

5374 Twin Hickory Rd
Glen Allen, VA 23059-5682
Phone (540) 699-0226

Other practice location 2

1135 Heatherstone Dr
Fredericksburg, VA 22407-4828
Phone (540) 699-0226

Other practice location 3

2052 Richmond Hwy Ste 201
Stafford, VA 22554-7286
Phone (540) 699-0226

Other names 1

  • Resilience Counseling & Social Skills Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230323003305 VA Part B Supplier - Clinic/Group Practice 4082088570 Receives reassigned benefits from 55 practitioners
Practice locations: Fredericksburg, VA; Stafford, VA; Glen Allen, VA; Midlothian, VA

National Provider Directory

National Provider Directory

Locations

1135 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 699-0226

306 Westwood Office Park
Fredericksburg, VA 22401
Phone (540) 690-0226

5374 Twin Hickory Rd
Glen Allen, VA 23059
Phone 5406990226 ext. 156

6524 Woodlake Village Cir
Midlothian, VA 23112
Phone (540) 699-0226

2052 Richmond Hwy
Ste 201
Stafford, VA 22554
Phone (540) 699-0226

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1245724707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5374 Twin Hickory Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230595682",
            "country_code": "US",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Heatherstone Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224074828",
            "country_code": "US",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2052 Richmond Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225547286",
            "country_code": "US",
            "telephone_number": "540-699-0226",
            "fax_number": "540-699-0224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESILIENCE COUNSELING & SOCIAL SKILLS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "MEMMER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "540-699-0226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Counseling & Social Skills Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.