Active NPI
Phases Therapy, Inc.
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1750059044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kat Devereaux, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VA0701010324 | Other | VA | LPC |
| 1215513353 | Other | VA | NPI TYPE 1 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SimplePractice | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1215513353
-
- Mental Health Counselor
- Fredericksburg, VA
- NPI 1346001476
-
- Mental Health Counselor
- Fredericksburg, VA
- NPI 1902646490
-
- Counselor
- Quinton, VA
- NPI 1114792538
-
- Mental Health Counselor
- Richmond, VA
- NPI 1770212649
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.