Organization Active NPI

VB Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Laurel, NJ
National Provider Identifier
1770044935
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VB COUNSELING LLC
Practice address
1200 S Church St Ste 7
Mount Laurel, NJ 08054-2936
Phone
(856) 441-3787
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Vera BiryukovNPI 1902100100
Title
Owner
Phone
(856) 441-3787

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1200 S Church St Ste 7
Mount Laurel, NJ 08054-2936

Mailing address

PO Box 310
Voorhees, NJ 08043-0310
Phone (856) 441-3787

Other identifiers 1

IdentifierTypeStateIssuer
1902100100OtherNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250117001109 NJ Part B Supplier - Clinic/Group Practice 9032648126 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Laurel, NJ

National Provider Directory

National Provider Directory

Locations

1200 S Church St
Ste 7
Mount Laurel, NJ 08054
Phone (856) 441-3787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1770044935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430310",
            "telephone_number": "856-441-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CHURCH ST STE 7",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542936",
            "telephone_number": "856-441-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VB COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BIRYUKOV",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-441-3787"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "1902100100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.