Organization Active NPI

Iron Vines Counseling LLC

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1417696907
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IRON VINES COUNSELING LLC
Practice address
3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410
Phone
(757) 274-9354
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Victoria Grace McLaughlin, PHD, LPC, CSACNPI 1124570577
Title
Doctor
Phone
(757) 274-9354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
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 Primary

Addresses

Primary practice location

3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410

Mailing address

3204 Ironbound Rd Ste D
Williamsburg, VA 23188-2410
Phone (757) 274-9354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426002745 VA Part B Supplier - Clinic/Group Practice 9537509369 Receives reassigned benefits from 2 practitioners
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

3204 Ironbound Rd
Ste D
Williamsburg, VA 23188
Phone (757) 274-9354

501 Prince George St
Ste 209
Williamsburg, VA 23185
Phone (757) 274-9354

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1417696907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 IRONBOUND RD STE D",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882410",
            "telephone_number": "757-274-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 IRONBOUND RD STE D",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882410",
            "telephone_number": "757-274-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON VINES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "757-274-9354",
        "authorized_official_credential": "PHD, LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.