Organization Active NPI

Richmond Wellness Center

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1497319842
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RICHMOND WELLNESS CENTER
Practice address
1405 W Main St
Richmond, VA 23220-4629
Phone
(601) 506-2122
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Justin Huerkamp, LPC
Title
Outpatient Counselor
Phone
(601) 506-2122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1405 W Main St
Richmond, VA 23220-4629

Mailing address

1405 W Main St
Richmond, VA 23220-4629
Phone (601) 506-2122

National Provider Directory

National Provider Directory

Locations

1405 W Main St
Richmond, VA 23220
Phone (601) 506-2122

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1497319842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204629",
            "telephone_number": "601-506-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W MAIN ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204629",
            "telephone_number": "601-506-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "HUERKAMP",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OUTPATIENT COUNSELOR",
        "authorized_official_telephone_number": "601-506-2122",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 30, 2019; 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.