Organization Active NPI

360 Counseling & Services

  • Community/Behavioral Health Agency
  • Chesterfield, VA
National Provider Identifier
1407400203
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
360 COUNSELING & SERVICES
Practice address
595 Southlake Blvd
Chesterfield, VA 23832-9256
Phone
(804) 898-4840
Fax
(804) 279-0392
NPI assigned
Jul 30, 2019
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Nicole Walke
Title
Coo
Phone
(804) 898-4840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

595 Southlake Blvd
Chesterfield, VA 23832-9256

Mailing address

595 Southlake Blvd
Chesterfield, VA 23832-9256
Phone (804) 898-4840

National Provider Directory

National Provider Directory
Tax ID family
360 Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

595 Southlake Blvd
North Chesterfield, VA 23236
Phone (804) 614-2128

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1407400203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SOUTHLAKE BLVD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329256",
            "telephone_number": "804-898-4840",
            "fax_number": "804-279-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SOUTHLAKE BLVD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329256",
            "telephone_number": "804-898-4840",
            "fax_number": "804-279-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 COUNSELING & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "WALKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "804-898-4840"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.