Provider Demographics
NPI:1871689893
Name:NATIONAL COUNSELING GROUP, INC
Entity Type:Organization
Organization Name:NATIONAL COUNSELING GROUP, INC
Other - Org Name:NORTHERN VIRGINIA COUNSELING GROUP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:OAKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-980-7219
Mailing Address - Street 1:PO BOX 11247
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230
Mailing Address - Country:US
Mailing Address - Phone:866-566-9624
Mailing Address - Fax:804-359-1387
Practice Address - Street 1:9301 FOREST POINT CIRCLE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:703-257-5997
Practice Address - Fax:703-257-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004947266Medicaid