Vircille Counseling & Consulting Services, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

VIRCILLE COUNSELING & CONSULTING SERVICES, PLLC

Practice address

1651 Wilma Rudolph Blvd Ste 204
Clarksville, TN 37040-6783

Phone

(931) 809-2533

NPI assigned

Mar 5, 2024

Last updated

Mar 5, 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

Dr. Lakisha Brimage, PSY.D.NPI 1710361456

Title

LPC-MHSP/Ceo

Phone

(931) 809-2533

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Lakisha Brimage, LPCC

  • Professional Counselor
  • Evansville, IN
  • NPI 1710361456
  NPD Authorized official

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1629835731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 N WOODSTOCK DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 WILMA RUDOLPH BLVD STE 204",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406783",
            "telephone_number": "931-809-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRCILLE COUNSELING & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "BRIMAGE",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "LPC-MHSP/CEO",
        "authorized_official_telephone_number": "931-809-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Marie Vincent, LPC-MHSP
• Tabitha Vincent
• Crescentia Spare Vinson, NP
• Jennifer D Vinson
• Annalisa M Viramontes
• Visions of Wellness
• Vital Chiropractic LLC
• Vitality Sport and Rehab LLC
• Nicholas Vlasnik, DMD
• Volunteer Dental LLC

• Professional Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.