NPIMap

Organization Active NPI

Edacllc

  • Mental Health Counselor
  • Mechanicsville, VA
National Provider Identifier
1720601453
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EDACLLC
Practice address
8104 Elm Dr Ste a
Mechanicsville, VA 23111-1106
Phone
(804) 585-4988
NPI assigned
May 28, 2020
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Joseph WhiteNPI 1982195012
Title
Owner
Phone
(804) 585-4988

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

8104 Elm Dr Ste a
Mechanicsville, VA 23111-1106

Mailing address

6407 Bareback Ter
North Chesterfield, VA 23234-4196
Phone (804) 585-4988

National Provider Directory

National Provider Directory

Locations

8104 Elm Dr
#A
Mechanicsville, VA 23111
Phone (804) 585-4988

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": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1720601453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 BAREBACK TER",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344196",
            "telephone_number": "804-585-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 ELM DR STE A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111106",
            "telephone_number": "804-585-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDACLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-585-4988"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.