Organization Active NPI

Extreme Counseling Solutions

  • Community/Behavioral Health Agency
  • Petersburg, VA
National Provider Identifier
1760789200
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1394 Issued in VA
Legal business name
EXTREME COUNSELING SOLUTIONS
Practice address
811 Logan St
Petersburg, VA 23803-3329
Phone
(804) 382-0098
NPI assigned
Feb 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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

Authorized official

Name
Ms. Deatrice Denise Delk, M.ED.
Title
Executive Director
Phone
(804) 382-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1394 VA Primary

Addresses

Primary practice location

811 Logan St
Petersburg, VA 23803-3329

Mailing address

811 Logan St
Petersburg, VA 23803-3329
Phone (804) 382-0098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1760789200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 LOGAN ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033329",
            "telephone_number": "804-382-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 LOGAN ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033329",
            "telephone_number": "804-382-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "DELK",
        "authorized_official_first_name": "DEATRICE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-382-0098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.