Vision in Action LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VISION IN ACTION LLC

Doing business as

Thriveworks Fredericksburg

Practice address

701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792

Phone

(540) 322-5424

NPI assigned

Dec 5, 2017

Last updated

Oct 1, 2020By 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

Colette BrooksNPI 1598389843

Title

Owner

Phone

(540) 322-5424

Specialties & licenses 4

Addresses

Other names 1

• Thriveworks Fredericksburg Doing business as

Locations

Practitioners 2

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.

• Colette Brooks

  • Professional Counselor
  • Stafford, VA
  • NPI 1598389843
  NPD (past) Authorized official
• Patricia Clark, LPC

  • Mental Health Counselor
  • Fredericksburg, VA
  • NPI 1841897980
  NPD (past)

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1932614542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015792",
            "telephone_number": "540-322-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015792",
            "telephone_number": "540-322-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION IN ACTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-322-5424"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks Fredericksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.