Owl Creek Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OWL CREEK COUNSELING LLC

Practice address

9023 Forest Hill Ave Ste 2a
North Chesterfield, VA 23235-3054

Phone

(804) 255-9341

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Victor BucklewNPI 1457110256

Title

Ceo

Phone

(804) 255-9538

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Bucklew

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1457110256
  NPD Authorized official
• Chelsea Muth

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1740030360
  NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1649030990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 E WEYBURN RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232352037",
            "telephone_number": "607-262-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 FOREST HILL AVE STE 2A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353054",
            "telephone_number": "804-255-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL CREEK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "BUCKLEW",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-255-9538"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.