Individual provider Active NPI

Roscoe David Stitt, LPC, LMFT

  • Mental Health Counselor
  • Chesterfield, VA
National Provider Identifier
1881606283
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701002085 Issued in VA
Practice address
9844 Lori Rd
Suite #100
Chesterfield, VA 23832-6691
Phone
(804) 751-0453
Fax
(804) 796-1997
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717000815 VA
Mental Health Counselor 101YM0800X 0701002085 VA Primary

Addresses

Primary practice location

9844 Lori Rd
Suite #100
Chesterfield, VA 23832-6691

Mailing address

9844 Lori Rd
Suite #100
Chesterfield, VA 23832-6691
Phone (804) 706-1111

Other identifiers 1

IdentifierTypeStateIssuer
0005412196MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023000083 VA Practitioner - Marriage and Family Therapist 7012440522 Practice locations: Chesterfield, VA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9844 Lori Rd
Suite 100
Chesterfield, VA 23832-6691
Phone (804) 706-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701002085VAMDMental Health Counselor
0717000815VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1881606283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 LORI RD",
            "address_2": "SUITE #100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326691",
            "telephone_number": "804-706-1111",
            "fax_number": "804-706-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 LORI RD",
            "address_2": "SUITE #100",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326691",
            "telephone_number": "804-751-0453",
            "fax_number": "804-796-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITT",
        "first_name": "ROSCOE",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000815",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005412196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.