Organization Active NPI

Starkewood Christian Counseling Services, P.C.

  • Community/Behavioral Health Agency
  • Petersburg, VA
National Provider Identifier
1295983914
Registry record updated Sep 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701003843 Issued in VA
Legal business name
STARKEWOOD CHRISTIAN COUNSELING SERVICES, P.C.
Practice address
589 S Crater Rd
Petersburg, VA 23803-5263
Phone
(804) 733-8585
Fax
(804) 733-9066
NPI assigned
Sep 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2008

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

Authorized official

Name
Mr. Lawrence C Starke II, LPCNPI 1609832070
Title
Executive Director
Phone
(804) 733-8585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0701003843 VA Primary

Addresses

Primary practice location

589 S Crater Rd
Petersburg, VA 23803-5263

Mailing address

1742 Berkeley Ave
Petersburg, VA 23805-2806
Phone (804) 733-8585

Other identifiers 2

IdentifierTypeStateIssuer
010243696MedicaidVA
010336449MedicaidVA

National Provider Directory

National Provider Directory

Locations

1742 Berkeley Ave
Petersburg, VA 23805
Phone (804) 733-4494

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220659200000",
    "number": "1295983914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 BERKELEY AVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052806",
            "telephone_number": "804-733-8585",
            "fax_number": "804-733-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035263",
            "telephone_number": "804-733-8585",
            "fax_number": "804-733-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKEWOOD CHRISTIAN COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-06",
        "status": "A",
        "authorized_official_last_name": "STARKE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-733-8585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701003843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010243696",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010336449",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; 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.