Victor Bucklew

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9023 Forest Hill Ave Ste 2-a
North Chesterfield, VA 23235-3054

Phone

(607) 262-0458

NPI assigned

Mar 15, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Owl Creek Counseling LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1649030990
  NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1457110256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 E WEYBURN RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232352037",
            "telephone_number": "607-262-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 FOREST HILL AVE STE 2-A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353054",
            "telephone_number": "607-262-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEW",
        "first_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zatima Brown, DOULA
• Robyn Marie Browne, AU.D.
• Sherrill Wilson Bryant
• Alexander Bryce
• Patricia K Buchanan, M.D.
• Vonetta Buckner-Craft
• Buford Road Pharmacy Inc
• Buford Road Pharmacy Inc
• Buford Road Pharmacy Inc
• Build and Blossom Behavioral Health LLC

• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.