NPIMap

Organization Active NPI

Sacred Dreams Biblical & Secular Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton Forge, VA
National Provider Identifier
1437801719
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SACRED DREAMS BIBLICAL & SECULAR COUNSELING CENTER LLC
Doing business as
Sacred Dreams Biblical & Secular Counseling Center LLC
Practice address
100 Nicholas Dr TRLR 4939
Clifton Forge, VA 24422-1969
Phone
(571) 268-6751
Fax
(833) 788-0610
NPI assigned
Jan 19, 2022
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Virginia R Nielsen, LPC/LMHC/NBCC/MSNPI 1467834135
Title
Owner/Therapist
Phone
(571) 268-6751

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 Nicholas Dr TRLR 4939
Clifton Forge, VA 24422-1969

Mailing address

100 Nicholas Dr TRLR 4939
Clifton Forge, VA 24422-1969
Phone (571) 268-6751

Other names 1

  • Sacred Dreams Biblical & Secular Counseling Center LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.sacreddreamstc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

15537 W 4000 N
#529
Altamont, UT 84001
Phone (571) 268-6751

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1437801719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NICHOLAS DR TRLR 4939",
            "city": "CLIFTON FORGE",
            "state": "VA",
            "postal_code": "244221969",
            "telephone_number": "571-268-6751",
            "fax_number": "833-788-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICHOLAS DR TRLR 4939",
            "city": "CLIFTON FORGE",
            "state": "VA",
            "postal_code": "244221969",
            "telephone_number": "571-268-6751",
            "fax_number": "833-788-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED DREAMS BIBLICAL & SECULAR COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "571-268-6751",
        "authorized_official_credential": "LPC/LMHC/NBCC/MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.sacreddreamstc.com",
            "affiliation": "N",
            "endpointDescription": "Patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Nicholas Dr Trlr 4939",
            "city": "Clifton Forge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "244221969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sacred Dreams Biblical & Secular Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Forge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.