Individual provider Active NPI

Marjorie Chrichlow Smith, LPC

  • Counselor
  • Richmond, VA
National Provider Identifier
1972663557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC0701003595 Issued in VA
Practice address
2000 Bremo Rd
Ste. 105
Richmond, VA 23226-2440
Phone
(804) 282-8332
Fax
(804) 288-4558
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC0701003595 VA Primary

Addresses

Primary practice location

2000 Bremo Rd
Ste. 105
Richmond, VA 23226-2440

Mailing address

2000 Bremo Rd
Ste. 105
Richmond, VA 23226-2440
Phone (804) 282-8332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227003550 VA Practitioner - Mental Health Counselor 5799120978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Virginia Institute of Pastoral Care IncGroup PAC ID 5799042586, 6 clinicians

Practice addresses (Care Compare)

2000 Bremo Rd
Suite 105
Richmond, VA 23226-2440
Phone (804) 282-8332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0701003595VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institute of Pastoral Care Inc Counselor CurrentSince Jan 14, 2024 Accepting new patients

Locations

2000 Bremo Rd
Ste 105
Richmond, VA 23226
Phone (804) 282-8332

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972663557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "address_2": "STE. 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-282-8332",
            "fax_number": "804-288-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "address_2": "STE. 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-282-8332",
            "fax_number": "804-288-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARJORIE",
        "middle_name": "CHRICHLOW",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "LPC0701003595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.