Organization Active NPI

Phases Therapy, Inc.

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1750059044
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHASES THERAPY, INC.
Practice address
2025 E Main St Ste 104
Richmond, VA 23223-7072
Phone
(804) 220-0433
Fax
(540) 492-5592
NPI assigned
Sep 1, 2021
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Kat Devereaux, LPCNPI 1215513353
Title
LPC
Phone
(804) 220-0433

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

2025 E Main St Ste 104
Richmond, VA 23223-7072

Mailing address

2025 E Main St Ste 104
Richmond, VA 23223-7072
Phone (804) 220-0433

Other identifiers 2

IdentifierTypeStateIssuer
VA0701010324OtherVALPC
1215513353OtherVANPI TYPE 1

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SimplePractice Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017003003 VA Part B Supplier - Clinic/Group Practice 3274065057 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

3330 Bourbon St
Ste 112
Fredericksburg, VA 22408
Phone (540) 416-2850

Practitioners & affiliated clinicians

Practitioners 5

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": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1750059044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237072",
            "telephone_number": "804-220-0433",
            "fax_number": "540-492-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237072",
            "telephone_number": "804-220-0433",
            "fax_number": "540-492-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "DEVEREAUX",
        "authorized_official_first_name": "KAT",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "804-220-0433",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "VA0701010324",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1215513353",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "online EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PPI",
            "address_1": "3330 Bourbon St Ste 112",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224087333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 8, 2026; 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.