Organization Active NPI

Counseling & Consultation Services, LLC

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1679287544
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNSELING & CONSULTATION SERVICES, LLC
Practice address
3712 Old Forest Rd Ste 400
Lynchburg, VA 24501-6959
Phone
(434) 515-2800
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Dr. Nicole Dilella, PHD, LPCNPI 1093303596
Title
Owner & Director
Phone
(609) 204-8830

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3712 Old Forest Rd Ste 400
Lynchburg, VA 24501-6959

Mailing address

1062 Valor CT
Forest, VA 24551-2509

Other names 1

  • Cultivate Counseling & Consultation Services Doing business as

National Provider Directory

National Provider Directory

Locations

3712 Old Forest Rd
Ste 400
Lynchburg, VA 24501
Phone (434) 515-2800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1679287544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 VALOR CT",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 OLD FOREST RD STE 400",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245016959",
            "telephone_number": "434-515-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "DILELLA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "609-204-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Counseling & Consultation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

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