Starfish Wellness and Therapeutic

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STARFISH WELLNESS AND THERAPEUTIC

Doing business as

Starfish Wellness and Therapeutic Services Inc

Practice address

4860 Cox Rd Ste 200
Glen Allen, VA 23060-9248

Phone

(804) 210-2360

NPI assigned

May 10, 2021

Organization subpart

No

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

Authorized official

Name

Alexandrea Jackson, LPCNPI 1053922518

Title

Owner

Phone

(804) 210-2360

Specialties & licenses 1

Addresses

Other names 1

• Starfish Wellness and Therapeutic Services Inc Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: alexandrea.jackson@starfishwellnessandtherapeuticservicesinc.com

Practitioners 1

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

• Alexandrea J Jackson, LPC

  • Professional Counselor
  • Petersburg, VA
  • NPI 1053922518
  NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1275117756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 COX RD STE 200",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609248",
            "telephone_number": "804-210-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 COX RD STE 200",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609248",
            "telephone_number": "804-210-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH WELLNESS AND THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALEXANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-210-2360",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alexandrea.jackson@starfishwellnessandtherapeuticservicesinc.com",
            "affiliation": "N",
            "address_1": "4860 Cox Rd Ste 200",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230609248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Starfish Wellness and Therapeutic Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jimmie L Spragans, LPC
• Springfield Medical Center, P.C.
• Theodora Anna Squire
• Christian Taylor Stallings, OTR/L
• Emma Legier Stanton
• Starting Point
• Thomas Joseph Stein, R.PH.
• Stephen Beecroft Specialty Partners of Virginia PLLC
• Stephen E. Brown, M.D., P.L.L.C.
• Leslie A. Stephen, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.