Organization Active NPI

Commonwealth Counseling Agency LLC

  • In Home Supportive Care Agency
  • Virginia Beach, VA
National Provider Identifier
1437795945
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMONWEALTH COUNSELING AGENCY LLC
Practice address
138 S Rosemont Rd Ste 208
Virginia Beach, VA 23452-4336
Phone
(757) 652-3280
Fax
(757) 707-8565
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Ms. Natasha Robinson, MA, QMHPNPI 1194331900
Title
Ceo
Phone
(757) 652-3280

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

138 S Rosemont Rd Ste 208
Virginia Beach, VA 23452-4336

Mailing address

138 S Rosemont Rd Ste 208
Virginia Beach, VA 23452-4336
Phone (757) 652-3280

Other identifiers 1

IdentifierTypeStateIssuer
3283MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ccagency19@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1437795945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S ROSEMONT RD STE 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524336",
            "telephone_number": "757-652-3280",
            "fax_number": "757-707-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S ROSEMONT RD STE 208",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524336",
            "telephone_number": "757-652-3280",
            "fax_number": "757-707-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH COUNSELING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-652-3280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, QMHP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3283",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ccagency19@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "138 S Rosemont Rd Ste 208",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234524336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.