Prime Psych VA, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRIME PSYCH VA, LLC

Practice address

7751 Squirrel Level Rd
North Dinwiddie, VA 23803-7637

Phone

(804) 695-6633

Fax

(855) 978-2324

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Frank Robert Rose, PSYDNPI 1043738206

Title

Licensed Clinical Psychologist

Phone

(804) 695-6633

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

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

• Frank Rose, PSYD

  • Clinical Psychologist
  • North Dinwiddie, VA
  • NPI 1043738206
  Medicare reassignment NPD Authorized official
• Jennifer Prewitt

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1457666505
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1306515812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 TEMPLE AVE # 524",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342981",
            "telephone_number": "804-695-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 SQUIRREL LEVEL RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238037637",
            "telephone_number": "804-695-6633",
            "fax_number": "855-978-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PSYCH VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "804-695-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1043738206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LCP ID#",
            "identifier": "0810005750",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cathy D Roach

• Mental Health Counselor in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.