Petra Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PETRA COUNSELING SERVICES, LLC

Practice address

2124 Richmond Hwy Ste 301
Stafford, VA 22554-7264

Phone

(540) 701-5312

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Johnson, LPCNPI 1164074530

Title

Owner

Phone

(540) 701-5312

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Johnson, LPC

  • Professional Counselor
  • Stafford, VA
  • NPI 1164074530
  NPD Authorized official
• Allyson Bailey Molina, LPC

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1659105948
  NPD (past)
• Maria Augusta Smith, LPC

  • Mental Health Counselor
  • Fredericksburg, VA
  • NPI 1992519755
  NPD (past)
• Eric Thacker

  • Counselor
  • Monroe, LA
  • NPI 1821527011
  NPD (past)

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1508691155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 RICHMOND HWY STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547264",
            "telephone_number": "540-701-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 RICHMOND HWY STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547264",
            "telephone_number": "540-701-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-701-5312",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Performance Physical Therapy of Stafford, LLC
• Tracy Perl, LPC, NCC, BCPCC
• Brooke Peters, MSW
• Alexis Peterson
• Petit's Halo, LLC
• Erica Petties
• Adrienne Peyton
• Thu Ha Pham, PA-C
• Yvonne Pham
• Janene Patricia Phillips, OTR/L

• Professional Counselor in Stafford, VA
• Providers in Stafford, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.