Intensive Supervision and Counseling Services, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

448 Issued in VA

Legal business name

INTENSIVE SUPERVISION AND COUNSELING SERVICES, LLC

Practice address

986 John Marshall Hwy
Unit D
Front Royal, VA 22630-4506

Phone

(540) 636-0068

Fax

(540) 635-4006

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christian Rousseau, MA, QMHP

Title

Director

Phone

(540) 636-0068

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811967813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 JOHN MARSHALL HWY",
            "address_2": "UNIT D",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304506",
            "telephone_number": "540-636-0068",
            "fax_number": "540-635-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 JOHN MARSHALL HWY",
            "address_2": "UNIT D",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226304506",
            "telephone_number": "540-636-0068",
            "fax_number": "540-635-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE SUPERVISION AND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-636-0068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, QMHP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.