Innovative Counseling Group LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INNOVATIVE COUNSELING GROUP LLC

Practice address

2530 Professional Rd Ste 201
North Chesterfield, VA 23235-3217

Phone

(804) 658-6760

Fax

(804) 658-7195

NPI assigned

Apr 10, 2020

Last updated

Apr 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Johnathan Hayes Weaver, LPC, LSATPNPI 1508405283

Title

Owner

Phone

(804) 658-6760

Specialties & licenses 1

Addresses

Other names 1

• Innovative Counseling Group Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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.

• Johnathan Hayes Weaver, LPC, LSATP

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1508405283
  Medicare reassignment NPD Authorized official
• Robin V Binford-Weaver, PH.D.

  • Clinical Psychologist
  • North Chesterfield, VA
  • NPI 1275495525

  Multi-Specialty

  NPD
• Jennifer Bridy

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1689371619
  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1306465257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38031",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232310831",
            "telephone_number": "804-804-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 PROFESSIONAL RD STE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353217",
            "telephone_number": "804-658-6760",
            "fax_number": "804-658-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-658-6760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LSATP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@icgva.com",
            "affiliation": "N",
            "address_1": "2530 Professional Rd Ste 201",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232353217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Innovative Counseling Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.