Organization Active NPI

Lutheran Family Services of VA

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1700978863
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
272 Issued in VA
Legal business name
LUTHERAN FAMILY SERVICES OF VA
Practice address
4901 Dickens Rd Ste 115
Richmond, VA 23230-1952
Phone
(804) 288-0122
Fax
(804) 288-0123
NPI assigned
Sep 28, 2006
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Freida M King
Title
Controller
Phone
(540) 562-8473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 272 VA Primary

Addresses

Primary practice location

4901 Dickens Rd Ste 115
Richmond, VA 23230-1952

Mailing address

2000 W Club LN Ste B
Richmond, VA 23226-2428
Phone (804) 288-0122

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Family Services of VA32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1700978863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W CLUB LN STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262428",
            "telephone_number": "804-288-0122",
            "fax_number": "804-288-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 DICKENS RD STE 115",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301952",
            "telephone_number": "804-288-0122",
            "fax_number": "804-288-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN FAMILY SERVICES OF VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "FREIDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "540-562-8473"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.