Individual provider Active NPI

Thomas Wilkin

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1396104634
Registry record updated Jul 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012652 Issued in VA
Practice address
6010 W Broad St Ste 103
Richmond, VA 23230-2215
Phone
(804) 282-1863
NPI assigned
Feb 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X
Mental Health Counselor 101YM0800X 0701012652 VA Primary

Addresses

Primary practice location

6010 W Broad St Ste 103
Richmond, VA 23230-2215

Mailing address

4400 Fort McHenry Pkwy
Glen Allen, VA 23060-6268
Phone (513) 641-9184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkin Counseling PLLC CurrentSince Dec 31, 2023 Accepting new patients
We Help Our Adolescents CurrentSince Jan 1, 2024 Accepting new patients

Locations

5700 Old Richmond Ave
Ste A1
Richmond, VA 23226
Phone (804) 240-6716

6010 W Broad St
Ste 103
Richmond, VA 23230
Phone (804) 282-1863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689984000000",
    "number": "1396104634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 FORT MCHENRY PKWY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606268",
            "telephone_number": "513-641-9184",
            "fax_number": "270-842-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W BROAD ST STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302215",
            "telephone_number": "804-282-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKIN",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2023-07-22",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.