Revelations Counseling & Consulting, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904007474 Issued in VA

Legal business name

REVELATIONS COUNSELING & CONSULTING, LLC

Practice address

1380 Central Park Blvd Ste 205
Fredericksburg, VA 22401-4926

Phone

(540) 602-2545

Fax

(540) 602-2542

NPI assigned

Aug 22, 2011

Organization subpart

No

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

Authorized official

Name

Samantha Jo Solley

Title

Coo

Phone

(540) 446-3978

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 10

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

• Amy R Martin, LPC

  • Professional Counselor
  • Fredericksburg, VA
  • NPI 1841505393
  Medicare reassignment Care Compare group NPD
• Joanne Louise Strawder, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1679878300
  Medicare reassignment Care Compare group
• Victoria Tripp, LICSW, LCSW, OSW-C

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1558003574
  Medicare reassignment Care Compare group
• Kimberly J.P. Lovell, LPC

  • Professional Counselor
  • Fredericksburg, VA
  • NPI 1376997262
  Care Compare group
• Jeffrey Thomas Mazzone, MA, LPC, MA

  • Professional Counselor
  • Fredericksburg, VA
  • NPI 1174112114
  NPD
• Guy Scott Strawder, LMFT

  • Marriage & Family Therapist
  • Fredericksburg, VA
  • NPI 1588145452
  NPD
• Heather Marie Ulstad, MS MERP

  • Counselor
  • Fredericksburg, VA
  • NPI 1609609320
  NPD
• James Kasten, LPC

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1649638933
  NPD (past)
• Amanda Sharps

  • Clinical Social Worker
  • Fredericksburg, VA
  • NPI 1770418931
  NPD (past)
• Hilary Towers, LPC, PHD

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1013798958
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1275813347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CENTRAL PARK BLVD STE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014926",
            "telephone_number": "540-602-2545",
            "fax_number": "540-602-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CENTRAL PARK BLVD STE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014926",
            "telephone_number": "540-602-2545",
            "fax_number": "540-602-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELATIONS COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SOLLEY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "540-446-3978"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904007474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904007474",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Lewis Reno, D.C.
• Cynthia Gustafson Repanshek, PSY.D.
• Restoration Place Behavioral Health & Wellness, LLC
• Restoring Clarity, LLC
• Carolin Kiriaki Retzke
• Alyssa Amber Revell, AGACNP-BC
• Reverent Medical Group Inc
• Skyler Revutin
• Reynolds Home Health Care LLC
• Brandi Reynolds, PSY.D.

• Community/Behavioral Health Agency in Fredericksburg, VA
• Providers in Fredericksburg, 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 Mar 21, 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.