Organization Active NPI

M3 Group Services, LLC

  • Mental Health Counselor
  • Moseley, VA
National Provider Identifier
1447822218
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
M3 GROUP SERVICES, LLC
Doing business as
M3 Group Services, LLC
Practice address
6906 Stafford Park Dr
Moseley, VA 23120-2290
Phone
(216) 374-1871
NPI assigned
Jul 12, 2021
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Kenya Massenburg, M.ED
Title
Executive Director Operations
Phone
(804) 683-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6906 Stafford Park Dr
Moseley, VA 23120-2290

Mailing address

6906 Stafford Park Dr
Moseley, VA 23120-2290

Other names 1

  • M3 Group Services, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1447822218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6906 STAFFORD PARK DR",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 STAFFORD PARK DR",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231202290",
            "telephone_number": "216-374-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3 GROUP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "MASSENBURG",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "804-683-6066",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M3 Group Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M3 Group Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moseley, VA

Sources for this page

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