Active NPI
Michael J Mason, PH.D.
- Professional Counselor
- Richmond, VA
National Provider Identifier
1992062830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005207
- Practice address
- 515 N 10TH St
Virginia Treatment Center for Children
Richmond, VA 23298-5040 - Phone
- (804) 828-3129
- Fax
- (804) 282-7814
- NPI assigned
- Apr 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005207 | VA | Primary |
Addresses
Primary practice location
515 N 10TH St
Virginia Treatment Center for Children
Richmond, VA 23298-5040
Mailing address
PO Box 91734
Richmond, VA 23298-0510
Phone (804) 358-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005207 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1992062830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980510",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N 10TH ST",
"address_2": "VIRGINIA TREATMENT CENTER FOR CHILDREN",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985040",
"telephone_number": "804-828-3129",
"fax_number": "804-282-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-17",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.