Organization Active NPI

Abundant Counseling Solutions

  • Clinical Social Worker
  • Lake Ridge, VA
National Provider Identifier
1336698489
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007463 Issued in VA
Legal business name
ABUNDANT COUNSELING SOLUTIONS
Practice address
4004 Genesee PL
101
Lake Ridge, VA 22192-8303
Phone
(571) 989-2284
Fax
(571) 526-5981
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Makeyshia Major, LCSW
Title
Owner
Phone
(808) 343-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904007463 VA Primary

Addresses

Primary practice location

4004 Genesee PL
101
Lake Ridge, VA 22192-8303

Mailing address

4004 Genesee PL
101
Lake Ridge, VA 22192-8303
Phone (571) 989-2284

Other identifiers 14

IdentifierTypeStateIssuer
1902106081OtherANTHEM
0307-0182OtherVACARE FIRST
4939494OtherVAAETNA
4563966OtherVACIGNA PPO HMO
TAX IDOtherVATRICARE STANDARD AND PRIME
600880973OtherVAMAGELLAN
NAOtherVABLUE CROSS BLUE SHIELD
1902106081MedicaidVA
1902106081OtherOPTUM HEALTH
1902106081OtherVABEACON HEALTH OPTIONS
1902106081OtherVAVIRGINIA PREMIER
163654OtherVAVALUE OPTION
334275OtherVAKAISER
519217OtherVAMHN

Other names 1

  • Makeyshia Major Doing business as

National Provider Directory

National Provider Directory

Locations

4004 Genesee Pl
Ste 101
Lake Ridge, VA 22192
Phone (703) 495-3164

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1336698489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL",
            "address_2": "101",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221928303",
            "telephone_number": "571-989-2284",
            "fax_number": "571-526-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL",
            "address_2": "101",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221928303",
            "telephone_number": "571-989-2284",
            "fax_number": "571-526-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "MAKEYSHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-343-4010",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1902106081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "0307-0182",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4939494",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO HMO",
            "identifier": "4563966",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD AND PRIME",
            "identifier": "TAX ID",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600880973",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NA",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902106081",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "1902106081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS",
            "identifier": "1902106081",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "1902106081",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION",
            "identifier": "163654",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "334275",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "519217",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makeyshia Major",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Ridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.