Active NPI
Collaborative Point Counseling & Consulting
- Community/Behavioral Health Agency
- Henrico, VA
National Provider Identifier
1407457807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COLLABORATIVE POINT COUNSELING & CONSULTING
- Practice address
- 10509 Patterson Ave # 42302
Henrico, VA 23238-5103 - Phone
- (804) 537-0170
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- 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
- Ms. Dorcille M Jernigan, LPC, LSATP, CRC
- Title
- Managing Owner
- Phone
- (804) 479-2862
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
10509 Patterson Ave # 42302
Henrico, VA 23238-5103
Mailing address
PO Box 42302
Henrico, VA 23242-2302
Phone (804) 537-0170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710467790 | Other | VA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
10509 Patterson Ave
#42302
Henrico, VA 23238
Phone (804) 537-0170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1407457807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42302",
"city": "HENRICO",
"state": "VA",
"postal_code": "232422302",
"telephone_number": "804-537-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10509 PATTERSON AVE # 42302",
"city": "HENRICO",
"state": "VA",
"postal_code": "232385103",
"telephone_number": "804-537-0170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLABORATIVE POINT COUNSELING & CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A",
"authorized_official_last_name": "JERNIGAN",
"authorized_official_first_name": "DORCILLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "804-479-2862",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, LSATP, CRC"
},
"taxonomies": [
{
"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": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1710467790",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.