Organization Active NPI

Commonwealth Clinical Services, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ashland, VA
National Provider Identifier
1558876995
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COMMONWEALTH CLINICAL SERVICES, LLP
Practice address
201 N Washington Hwy Ste 301
Ashland, VA 23005-1644
Phone
(540) 395-4565
Fax
(540) 286-0148
NPI assigned
Dec 7, 2017
Last updated
Dec 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Dr. Nicole D Morgan, PSY.D.NPI 1316340920
Title
Partner
Phone
(678) 641-6737

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 N Washington Hwy Ste 301
Ashland, VA 23005-1644

Mailing address

754 Warrenton Rd Ste 113-229
Fredericksburg, VA 22406-1098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180205002916 VA Part B Supplier - Clinic/Group Practice 5193085462 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, VA

National Provider Directory

National Provider Directory

Locations

201 N Washington Hwy
Ste 301
Ashland, VA 23005
Phone (540) 395-4565

754 Warrenton Rd
Ste 113229
Fredericksburg, VA 22406

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1558876995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 WARRENTON RD STE 113-229",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N WASHINGTON HWY STE 301",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051644",
            "telephone_number": "540-395-4565",
            "fax_number": "540-286-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CLINICAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "678-641-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.