Organization Active NPI

Prominent Counseling Services, LLC

  • Mental Health Counselor
  • North Chesterfield, VA
National Provider Identifier
1447005343
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROMINENT COUNSELING SERVICES, LLC
Practice address
555 Southlake Blvd Ste D
North Chesterfield, VA 23236-3060
Phone
(434) 222-0823
Fax
(866) 216-5506
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Angela Frederick, MA, M.ED., QMHP
Title
Ceo
Phone
(434) 222-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

555 Southlake Blvd Ste D
North Chesterfield, VA 23236-3060

Mailing address

555 Southlake Blvd Ste D
North Chesterfield, VA 23236-3060
Phone (804) 716-8908

National Provider Directory

National Provider Directory

Locations

555 Southlake Blvd
Ste D
North Chesterfield, VA 23236
Phone (434) 222-0823

Practitioners & affiliated clinicians

Practitioners 2

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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1447005343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD STE D",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "804-716-8908",
            "fax_number": "866-216-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOUTHLAKE BLVD STE D",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363060",
            "telephone_number": "434-222-0823",
            "fax_number": "866-216-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-222-0823",
        "authorized_official_credential": "MA, M.ED., QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.