Organization Active NPI

Community Counseling Group

  • Community/Behavioral Health Agency
  • Petersburg, VA
National Provider Identifier
1518310291
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY COUNSELING GROUP
Practice address
230 S Crater Rd
Petersburg, VA 23803-4424
Phone
(804) 381-9052
NPI assigned
Jul 19, 2016
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Ricky Joseph Scott
Title
Ceo
Phone
(804) 381-9052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

230 S Crater Rd
Petersburg, VA 23803-4424

Mailing address

230 S Crater Rd
Petersburg, VA 23803-4424
Phone (804) 381-9052

National Provider Directory

National Provider Directory

Locations

11800 Chester Village Dr
Ste C
Chester, VA 23831

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1518310291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034424",
            "telephone_number": "804-381-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034424",
            "telephone_number": "804-381-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-381-9052"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.