MDK LLC
NPI 1205606514
Clinic/Center - Adult Mental Health in Henrico, VA

Active since January 08, 2024
3111 NORTHSIDE AVE STE 101, HENRICO, VA 23228(804) 366-4330 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mdk Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MDK LLC (NPI 1205606514), doing business as Counseling For Recovery Growth & Welness, is a healthcare organization registered as an adult mental health in Henrico, Virginia and active in the NPI registry since January 2024. The organization lists Monica D Klisz, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1205606514
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMDK LLC
Location Address3111 NORTHSIDE AVE STE 101Henrico, VA 23228-5441
Mailing Address3111 Northside Ave Ste 101Henrico, VA 23228-5441 · (804) 366-4330
Organization SubpartNo
Authorized OfficialMonica D KliszOwner/psychotherapist · (804) 366-4330
Enumeration DateJanuary 8, 2024
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1205606514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
3111 NORTHSIDE AVE STE 101, Henrico, VA 23228

Other Names 1

Doing Business AsCounseling For Recovery Growth & Welness

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mdk Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mdk LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1720261761
3111 NORTHSIDE AVE SUITE 101
Richmond, VA 23228
(804) 366-4330
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mdk LLC's NPI number?

The NPI number for Mdk LLC is 1205606514. It was assigned to this organization in the NPPES registry on January 8, 2024. The provider is doing business as Counseling for Recovery Growth & Welness.

Where is Mdk LLC located?

Mdk LLC is located at 3111 Northside Ave Ste 101, Henrico, VA 23228. The listed phone number is (804) 366-4330.

What is Mdk LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Mdk LLC enrolled in Medicare?

Yes. Mdk LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mdk LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mdk LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mdk LLC was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.