Acacia Counseling & Consultative Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACACIA COUNSELING & CONSULTATIVE SERVICES

Doing business as

Acacia Counseling and Consultative Ser

Practice address

11221 Arbor Creek Dr Apt 436
Richmond, VA 23233-0206

Phone

(434) 414-4555

NPI assigned

Nov 7, 2021

Last updated

Nov 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Domonique Wilson, LPCNPI 1588280424

Title

Owner/Operator

Phone

(434) 414-4555

Specialties & licenses 1

Addresses

Other names 1

• Acacia Counseling and Consultative Ser Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Domonique Ashleigh-Nicole Wilson, LPC

  • Professional Counselor
  • Richmond, VA
  • NPI 1588280424
  NPD Authorized official

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636243200000",
    "number": "1386309045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 ARBOR CREEK DR APT 436",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232330206",
            "telephone_number": "434-414-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 ARBOR CREEK DR APT 436",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232330206",
            "telephone_number": "434-414-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA COUNSELING & CONSULTATIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DOMONIQUE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "434-414-4555",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acacia Counseling and Consultative Ser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.