Active NPI
Jacton Onyango, LPC, CSAC
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1790017663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701004654
- Practice address
- 107 S 5TH St
Richmond, VA 23219-3825 - Phone
- (804) 819-4000
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000525 | VA | |
| Mental Health Counselor | 101YM0800X | 0701004654 | VA | Primary |
Addresses
Primary practice location
107 S 5TH St
Richmond, VA 23219-3825
Mailing address
107 S 5TH St
Richmond, VA 23219-3825
Phone (804) 819-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945255 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710000525 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701004654 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1790017663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S 5TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193825",
"telephone_number": "804-819-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S 5TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232193825",
"telephone_number": "804-819-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONYANGO",
"first_name": "JACTON",
"credential": "LPC, CSAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710000525",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701004654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945255",
"state": "VA"
}
],
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.