Organization Active NPI

Covenant Counseling & Consulting, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Richmond, VA
National Provider Identifier
1841954419
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COVENANT COUNSELING & CONSULTING, LLC
Practice address
2211 Dickens Rd Ste 250
Richmond, VA 23230-2022
Phone
(804) 836-9729
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Denise Dianne Cooper, LSATP, CRC, MAC, CSANPI 1023244936
Title
Owner/Practitioner
Phone
(804) 836-9729

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2211 Dickens Rd Ste 250
Richmond, VA 23230-2022

Mailing address

5112 Burtwood LN
Richmond, VA 23224-6059
Phone (804) 836-9729

Other names 1

  • NONE Other name

National Provider Directory

National Provider Directory

Locations

2211 Dickens Rd
Ste 250
Richmond, VA 23230
Phone (804) 836-9729

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": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1841954419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 BURTWOOD LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246059",
            "telephone_number": "804-836-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 DICKENS RD STE 250",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302022",
            "telephone_number": "804-836-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "804-836-9729",
        "authorized_official_credential": "LSATP, CRC, MAC, CSA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 28, 2021; 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.