Emergent Counseling Services LLS

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

094010031 Issued in VA

Legal business name

EMERGENT COUNSELING SERVICES LLS

Practice address

4637 Briarwood Dr
Charlottesville, VA 22911-8375

Phone

(804) 475-0099

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Frances Ingram, LCSW

Title

Own ER

Phone

(804) 475-0099

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1689189318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 BRIARWOOD DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118375",
            "telephone_number": "804-475-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 BRIARWOOD DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118375",
            "telephone_number": "804-475-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENT COUNSELING SERVICES LLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "OWN ER",
        "authorized_official_telephone_number": "804-475-0099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0904010031",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "VA",
            "license": "094010031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Elreda, PH.D.
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• Thomas J Eluvathingal Muttikkal, MD
• Kurtis Scott Elward, M.D., M.P.H.
• Seyed A. Emamian, M.D. , P.H. D.
• Benjamin Emery
• Robert Emery Jr., PH.D.
• Emily Harding DMD Inc
• Empower Change Behavioral Solutions
• Empower Pediatric Physical Therapy, PLLC

• Adolescent and Children Mental Health Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Adolescent and Children Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.