Organization Active NPI

Inner Self Counseling and Consulting LLC

  • Community/Behavioral Health Agency
  • Henrico, VA
National Provider Identifier
1902357809
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701003863 Issued in VA
Legal business name
INNER SELF COUNSELING AND CONSULTING LLC
Practice address
8008 Heavenly Valley Dr
Henrico, VA 23231-8954
Phone
(804) 919-0902
Fax
(804) 795-5897
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Ms. Lakesha Roney, LPCNPI 1184895484
Title
Owner/LPC
Phone
(804) 919-0902

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
Community/Behavioral Health Agency 251S00000X 0701003863 VA Primary

Addresses

Primary practice location

8008 Heavenly Valley Dr
Henrico, VA 23231-8954

Mailing address

8008 Heavenly Valley Dr
Henrico, VA 23231-8954
Phone (804) 919-0902

Other identifiers 2

IdentifierTypeStateIssuer
600875758MedicaidVA
1184895484OtherVAINDIVIDUAL NPI NUMBER

Other names 1

  • Inner Self Counseling and Consulting LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513000796 VA Part B Supplier - Clinic/Group Practice 1850732520 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory

Locations

2002 Bremo Rd
Ste 204
Richmond, VA 23226
Phone (804) 243-9062

Practitioners & affiliated clinicians

Practitioners 5

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1902357809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 HEAVENLY VALLEY DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232318954",
            "telephone_number": "804-919-0902",
            "fax_number": "804-795-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 HEAVENLY VALLEY DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232318954",
            "telephone_number": "804-919-0902",
            "fax_number": "804-795-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER SELF COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "RONEY",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "804-919-0902",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701003863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600875758",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1184895484",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Self Counseling and Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.