Organization Active NPI

Common Health Counseling Group, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Henrico, VA
National Provider Identifier
1942016365
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
COMMON HEALTH COUNSELING GROUP, LLC
Practice address
10431 Patterson Ave # C-21
Henrico, VA 23238-5101
Phone
(804) 730-1932
Fax
(804) 730-1953
NPI assigned
Dec 10, 2024
Organization subpart
Yes
Parent organization
COMMON HEALTH COUNSELING GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mr. Kendrick Kelly
Title
Ceo/Executive Director
Phone
(804) 730-1932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

10431 Patterson Ave # C-21
Henrico, VA 23238-5101

Mailing address

10431 Patterson Ave # C-21
Henrico, VA 23238-5101
Phone (804) 730-1932

Other names 1

  • Common Health Counseling Group DD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Common Health Counseling Group LLC2 organizations share this tax ID, including this one
Part of
Common Health Counseling Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1942016365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE # C-21",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-730-1932",
            "fax_number": "804-730-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 PATTERSON AVE # C-21",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232385101",
            "telephone_number": "804-730-1932",
            "fax_number": "804-730-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON HEALTH COUNSELING GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMON HEALTH COUNSELING GROUP, LLC",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-730-1932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Common Health Counseling Group DD",
            "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 Dec 10, 2024; 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.