Individual provider Active NPI

Milton Andre Pouncy II

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1710447438
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
409 E Main St Ste 102
Richmond, VA 23219-3845
Phone
(617) 980-0504
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X VA Primary

Addresses

Primary practice location

409 E Main St Ste 102
Richmond, VA 23219-3845

Mailing address

2530 Lakefield Mews CT Apt K
Henrico, VA 23231-4185
Phone (617) 980-0504

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Cares LLC Counselor CurrentSince Feb 19, 2023 Accepting new patients
Advancing Communities Everywhere,LLC CurrentSince Jun 14, 2020 Accepting new patients

Locations

409 E Main St
Ste 102
Richmond, VA 23219
Phone (617) 980-0504

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1710447438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 LAKEFIELD MEWS CT APT K",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232314185",
            "telephone_number": "617-980-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E MAIN ST STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193845",
            "telephone_number": "617-980-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNCY",
        "first_name": "MILTON",
        "middle_name": "ANDRE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "VA"
        }
    ],
    "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 Feb 15, 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.