Active NPI
Thomas G Faragher, LPC
- Professional Counselor
- Richmond, VA
National Provider Identifier
1831257906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003176
- Practice address
- 6718 Patterson Ave
Richmond, VA 23226-3419 - Phone
- (804) 282-5644
- Fax
- (804) 285-0006
- NPI assigned
- Dec 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003176 | VA | Primary |
Addresses
Primary practice location
6718 Patterson Ave
Richmond, VA 23226-3419
Mailing address
6718 Patterson Ave
Richmond, VA 23226-3419
Phone (804) 282-5644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260227003021 | VA | Practitioner - Mental Health Counselor | 5092296954 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Behavioral Care of Virginia Inc
Practice addresses (Care Compare)
7760 Shrader Rd
Suite B
Henrico, VA 23228-2552
Phone (804) 591-0002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003176 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Virginia, Inc. | Current | Accepting new patients | |
| Optum Behavioral Care of Virginia, Inc. | Current | Accepting new patients |
Locations
7760 Shrader Rd
#B
Richmond, VA 23228
Phone (804) 591-0002
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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- NPI 1851164271
-
- Clinical Social Worker
- New Orleans, LA
- NPI 1053290973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831257906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6718 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263419",
"telephone_number": "804-282-5644",
"fax_number": "804-285-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6718 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263419",
"telephone_number": "804-282-5644",
"fax_number": "804-285-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAGHER",
"first_name": "THOMAS",
"middle_name": "G",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003176",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.