NPIMap

Organization Active NPI

Universal Life Services LLC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1467896472
Registry record updated Apr 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNIVERSAL LIFE SERVICES LLC
Practice address
4609 W Broad St
Suite A2
Richmond, VA 23230-3205
Phone
(804) 218-8959
Fax
(804) 355-5420
NPI assigned
Apr 21, 2013
Last updated
Apr 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2013

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

Authorized official

Name
Mr. Ronald Calvin Burton, BA,CSAC
Title
Ceo
Phone
(804) 281-8959

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X NU
Social Worker 104100000X NU

Addresses

Primary practice location

4609 W Broad St
Suite A2
Richmond, VA 23230-3205

Mailing address

4609 W Broad St
Suite A2
Richmond, VA 23230-3205
Phone (804) 218-8959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366502400000",
    "number": "1467896472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 W BROAD ST",
            "address_2": "SUITE A2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303205",
            "telephone_number": "804-218-8959",
            "fax_number": "804-355-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 W BROAD ST",
            "address_2": "SUITE A2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303205",
            "telephone_number": "804-218-8959",
            "fax_number": "804-355-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-21",
        "last_updated": "2013-04-21",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-281-8959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA,CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; 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.