Active NPI
Mossy Road Counseling LLC
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1356228944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MOSSY ROAD COUNSELING LLC
- Practice address
- 415 E Grace St Apt 104
Richmond, VA 23219-1866 - Phone
- (703) 679-7608
- NPI assigned
- Aug 18, 2025
- 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
- Philip Mitchell, LPC
- Title
- Owner
- Phone
- (703) 679-7608
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
415 E Grace St Apt 104
Richmond, VA 23219-1866
Mailing address
701 E Franklin Street Ste 105
PMB 1278
Richmond, VA 23219
National Provider Directory
National Provider DirectoryLocations
415 E Grace St
Apt 104
Richmond, VA 23219
Phone (703) 679-7608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1356228944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E FRANKLIN STREET STE 105",
"address_2": "PMB 1278",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E GRACE ST APT 104",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191866",
"telephone_number": "703-679-7608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSSY ROAD COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-679-7608",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.