Nu Vision Counseling & Consulting Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NU VISION COUNSELING & CONSULTING SERVICES, LLC

Practice address

11825 Chase Wellesley Dr
Henrico, VA 23233-7760

Phone

(804) 918-5572

Fax

(888) 348-3804

NPI assigned

Sep 30, 2020

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DEENA A TERRELL DBA DATS CCC SERVICESAs reported in NPPES

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

Authorized official

Name

Ms. Deena Terrell, LCSWNPI 1669818811

Title

Owner

Phone

(804) 918-5572

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Deena Terrell, LCSW Other name

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deena A Terrell, LCSW

  • Clinical Social Worker
  • Glen Allen, VA
  • NPI 1669818811

  Case Management

  NPD (past) Authorized official

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1902413248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 CHASE WELLESLEY DR APT 717",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337760",
            "telephone_number": "804-918-5572",
            "fax_number": "888-348-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 CHASE WELLESLEY DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337760",
            "telephone_number": "804-918-5572",
            "fax_number": "888-348-3804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087574817",
            "country_code": "US",
            "telephone_number": "804-918-5572",
            "fax_number": "888-348-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NU VISION COUNSELING & CONSULTING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEENA  A TERRELL DBA DATS CCC SERVICES",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "DEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-918-5572",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0904009847",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44SC05933600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "44SC05933600",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904009847",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administrative_assistant@nvccservices.net",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Nu Vision",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11825 Chase Wellesley Dr",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232337760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administrative_assistant@nvccservices.net",
            "affiliation": "Y",
            "endpointDescription": "Email Address",
            "affiliationName": "Deena Terrell, LCSW",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "270 1st Ave",
            "city": "Toms River",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087574817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Deena Terrell, LCSW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deena Terrell, LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Deena Terrell, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Henrico, VA
• Providers in Henrico, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.