Richard Chassey, LPC
Individual provider Active NPI Professional Counselor · Lunenburg, VA
NPI 1376196394 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1376196394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701008471 (VA)
- Practice address
- P.O. Drawer 40
Lunenburg, VA 23952 - Phone
- (434) 696-3747
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Services Board
Practice addresses (Care Compare)
410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923-0340
Phone (434) 542-5187
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240111001786 | VA | Practitioner - Mental Health Counselor | 2961853270 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008471 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Services Board | Current |
Accepting new patients | |
| Vaught Christian Counseling PC | Professional | Past | Accepting new patients |
Locations
9101 Washington St
Amelia Court House, VA 23002
Phone (804) 561-5057
410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923
Phone (434) 542-5187
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008471 | VA | Yes |
Addresses
Primary practice location
P.O. Drawer 40
Lunenburg, VA 23952
Mailing address
960 Green Town Rd
Farmville, VA 23901-2795
Other providers in Lunenburg, VA
All providers in Lunenburg, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.