Ennobled Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENNOBLED COUNSELING SERVICES, LLC

Practice address

3620 Reynolds Rd
Richmond, VA 23223-1428

Phone

(804) 252-1862

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Renea Gregg-Martin, LPCNPI 1427376946

Title

Owner/Ceo

Phone

(804) 252-1862

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andrea Renea Gregg-Martin, MA, LPC, LMHP

  • Professional Counselor
  • Richmond, VA
  • NPI 1427376946
  NPD (past) Authorized official

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1265899470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 6TH ST",
            "address_2": "STUDIO L",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232245560",
            "telephone_number": "804-252-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 REYNOLDS RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231428",
            "telephone_number": "804-252-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLED COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "GREGG-MARTIN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "804-252-1862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.