NPIMap

Organization Active NPI

Central Virginias Preferred Providers

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1730638107
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTRAL VIRGINIAS PREFERRED PROVIDERS
Practice address
2421 Westwood Ave Ste F
Richmond, VA 23230-4022
Phone
(804) 330-6441
Fax
(804) 330-6446
NPI assigned
Sep 27, 2016
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Mr. Ken Anderson, MSW, MBA
Title
Owner
Phone
(804) 514-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2421 Westwood Ave Ste F
Richmond, VA 23230-4022

Mailing address

2421 Westwood Ave Ste F
Richmond, VA 23230-4022
Phone (804) 330-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112003342 VA Part B Supplier - Clinic/Group Practice 1557793528 Receives reassigned benefits from 16 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

5911 W Broad St
Richmond, VA 23230
Phone (804) 213-0259

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1730638107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 WESTWOOD AVE STE F",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304022",
            "telephone_number": "804-330-6441",
            "fax_number": "804-330-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WESTWOOD AVE STE F",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304022",
            "telephone_number": "804-330-6441",
            "fax_number": "804-330-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIAS PREFERRED PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-514-9696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.