NPIMap

Organization Active NPI

Doctor Mays-Couch LLC

  • Clinical Social Worker
  • Charlotte Courthouse, VA
National Provider Identifier
1477296457
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DOCTOR MAYS-COUCH LLC
Practice address
1839 Thomas Jeffereson Hwy
Charlotte Courthouse, VA 23923
Phone
(434) 542-3315
NPI assigned
Apr 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Shelley Mays-Couch, LCSWNPI 1821547639
Title
Ceo
Phone
(434) 315-1817

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
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1839 Thomas Jeffereson Hwy
Charlotte Courthouse, VA 23923

Mailing address

PO Box 32
Farmville, VA 23901-0032
Phone (434) 542-3315

Other practice location 1

3875 S James Madison Hwy
Farmville, VA 23901-7273
Phone (434) 315-1214

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL radicallybold@doctormayscouchllc.org

National Provider Directory

National Provider Directory

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": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1477296457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010032",
            "telephone_number": "434-542-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 THOMAS JEFFERESON HWY",
            "city": "CHARLOTTE COURTHOUSE",
            "state": "VA",
            "postal_code": "23923",
            "telephone_number": "434-542-3315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 S James Madison Hwy",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239017273",
            "country_code": "US",
            "telephone_number": "434-315-1214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR MAYS-COUCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "MAYS-COUCH",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-315-1817",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "radicallybold@doctormayscouchllc.org",
            "affiliation": "N",
            "address_1": "1839 Thomas Jeffereson Hwy",
            "city": "Charlotte Courthouse",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte Courthouse, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.