Individual provider Active NPI

Qaadira Warithmuhammad, LPC

  • Professional Counselor
  • Colonial Heights, VA
National Provider Identifier
1871370205
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012829 Issued in VA
Practice address
2306 Boulevard Ste B
Colonial Heights, VA 23834-2320
Phone
(804) 243-6800
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X
Professional Counselor 101YP2500X 0701012829 VA Primary

Addresses

Primary practice location

2306 Boulevard Ste B
Colonial Heights, VA 23834-2320

Mailing address

15807 Wind Seeker CT Apt Suite
Chester, VA 23831-7331
Phone (804) 243-6800

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

LicenseStateTypeSpecialty
0701012829VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Wellness Group, Inc. CurrentSince Sep 17, 2023 Accepting new patients
Serenity Wellness Group, Inc. Professional Current Accepting new patients
Oasis Behavioral Health, Inc Professional Current Accepting new patients

Locations

2306 Boulevard
Ste B
Colonial Heights, VA 23834
Phone (804) 243-6800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1871370205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15807 WIND SEEKER CT APT SUITE",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317331",
            "telephone_number": "804-243-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 BOULEVARD STE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342320",
            "telephone_number": "804-243-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARITHMUHAMMAD",
        "first_name": "QAADIRA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.