Ivy Counseling Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0701006383 Issued in VA

Legal business name

IVY COUNSELING CENTER LLC

Doing business as

Ivy Counseling Center

Practice address

20 E Tabb St
Suite 100
Petersburg, VA 23803-4541

Phone

(804) 312-7469

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Arsheia L JonesNPI 1366982936

Title

LPC/Owner

Phone

(804) 312-7469

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ivy Counseling Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arsheia Jones

  • Professional Counselor
  • Petersburg, VA
  • NPI 1366982936
  NPD (past) Authorized official

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1891227641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NEW CASTLE DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342415",
            "telephone_number": "804-312-7469",
            "fax_number": "804-957-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E TABB ST",
            "address_2": "SUITE 100",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034541",
            "telephone_number": "804-312-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ARSHEIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "804-312-7469"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701006383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366982936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrated Life Services LLC
• Intensacare Home Health Services, LLC
• Interfaith Adult Day Care, Inc.
• Irish Fleet Inc.
• Iveyhouse LTD.
• J. Houseworth, DPM LLC
• Jackson Professional Serv LLC
• Alexandrea J Jackson, LPC
• Jasmine Shanae Jackson, NP
• Lauran Dekease Jackson

• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.