Active NPI
Abundant Counseling Solutions
- Clinical Social Worker
- Lake Ridge, VA
National Provider Identifier
1336698489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007463
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902106081 | Other | ANTHEM | |
| 0307-0182 | Other | VA | CARE FIRST |
| 4939494 | Other | VA | AETNA |
| 4563966 | Other | VA | CIGNA PPO HMO |
| TAX ID | Other | VA | TRICARE STANDARD AND PRIME |
| 600880973 | Other | VA | MAGELLAN |
| NA | Other | VA | BLUE CROSS BLUE SHIELD |
| 1902106081 | Medicaid | VA | |
| 1902106081 | Other | OPTUM HEALTH | |
| 1902106081 | Other | VA | BEACON HEALTH OPTIONS |
| 1902106081 | Other | VA | VIRGINIA PREMIER |
| 163654 | Other | VA | VALUE OPTION |
| 334275 | Other | VA | KAISER |
| 519217 | Other | VA | MHN |
Other names 1
- Makeyshia Major
National Provider Directory
National Provider DirectoryLocations
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.