Organization Active NPI

Collaborative Point Counseling & Consulting

  • Community/Behavioral Health Agency
  • Henrico, VA
National Provider Identifier
1407457807
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1710467790OtherVAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.