Fireside Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009037 Issued in VA

Legal business name

FIRESIDE COUNSELING LLC

Practice address

7300 Hanover Green Dr Ste 300E
Mechanicsville, VA 23111-1705

Phone

(804) 220-0036

Fax

(804) 597-0114

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Gregory James, LCSW

Title

Owner

Phone

(520) 977-9870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1629580139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER GREEN DR STE 300E",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111705",
            "telephone_number": "804-220-0036",
            "fax_number": "804-597-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER GREEN DR STE 300E",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111705",
            "telephone_number": "804-220-0036",
            "fax_number": "804-597-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-977-9870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Fields, OTD/R
• Sharon Filegar, RN IBCLC
• Matthew Paul Finefrock
• Finish Well Group, LLC
• Harriette Annette Finley, FNP
• First Wellness Counseling Services, LLC
• Kichia Fisher, QMHP-A
• Barbara P. Fitz, P.T.
• Kimberly Fitzgerald, O.T.
• Latane Flanagan, PMHNP-BC

• Clinical Social Worker in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.