MEDICARE: CLINICAL COUNSELING AND CONSULTING OF VIRGINIA PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0904010195	VA

General Provider Information

NPI Number	:	1417455031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL COUNSELING AND CONSULTING OF VIRGINIA PLLC

Provider Business Mailing Address
First Line	:	4112 E PARHAM RD STE A
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2753
Country	:	US
Telephone Number	:	804-562-6527
Fax Number	:	804-562-6709

Provider Business Practice Location Address
First Line	:	4112 E PARHAM RD STE A
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23228-2753
Country	:	US
Telephone Number	:	804-562-6527
Fax Number	:	804-562-6709

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	KATHERINE LOCKE
Credential	:	LCSW
Telephone Number	:	804-562-6527

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	06/27/2025

Similar Medicare Providers

1609733674 — SEAN CONCANNON LCSW
Practice Location Address:

4112 E PARHAM RD STE A
HENRICO, VA
23228-2753

Practice Phone: 804-562-6527
Practice Fax:

1437510971 — MRS. CHRISTI LEIGH DEFRANCESCO LCSW
Practice Location Address:

4112 E PARHAM RD
HENRICO, VA
23228-2753

Practice Phone: 804-901-7911
Practice Fax:

1477051076 — KATHERINE S LOCKE LCSW
Practice Location Address:

4112 E PARHAM RD STE A
HENRICO, VA
23228-2753

Practice Phone: 804-562-6527
Practice Fax: 804-562-6709

1356414601 — JESSICA L MORRIS LCSW
Practice Location Address:

4112 E PARHAM RD
RICHMOND, VA
23228-2753

Practice Phone: 804-901-7911
Practice Fax: 804-672-7422

1194180893 — DAWN CHILLON PH.D, LPC, NCC
Practice Location Address:

4112 E PARHAM RD
RICHMOND, VA
23228-2753

Practice Phone: 804-901-7911
Practice Fax: 804-672-7422

1568336568 — GLENSIDE PRIMARY CARE ASSOCIATES PLLC
Practice Location Address:

4000A GLENSIDE DR
HENRICO, VA
23228-4102

Practice Phone: 804-262-4763
Practice Fax:

Directions to “CLINICAL COUNSELING AND CONSULTING OF VIRGINIA PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.