Intellectus Counseling Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTELLECTUS COUNSELING GROUP, LLC

Doing business as

Innov8tive Counseling Services

Practice address

14403 Michaels Ridge Rd
Midlothian, VA 23113-6327

Phone

(804) 245-0727

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Curtis Carter Jr., MS

Title

Ceo, Cito

Phone

(804) 245-0727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Innov8tive Counseling Services Doing business as

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1902287238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14403 MICHAELS RIDGE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136327",
            "telephone_number": "804-245-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14403 MICHAELS RIDGE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136327",
            "telephone_number": "804-245-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLECTUS COUNSELING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "CEO, CITO",
        "authorized_official_telephone_number": "804-245-0727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042606060129",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innov8tive Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Midlothian, VA
• Providers in Midlothian, 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 Jun 11, 2015; 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.