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PRIME PSYCH VA, LLC
NPI 1306515812
Counselor - Mental Health in North Dinwiddie, VA

Active since September 08, 2021
7751 SQUIRREL LEVEL RD, NORTH DINWIDDIE, VA 23803(804) 695-6633(855) 978-2324 Get Directions Write a Review

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

Record update history: Jan 21, 2026, Sep 30, 2022, Sep 23, 2021 and 1 more (4 updates tracked since 2021).

About Prime Psych Va, Llc NPPES

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

PRIME PSYCH VA, LLC (NPI 1306515812) is a healthcare organization registered as a mental health in North Dinwiddie, Virginia and active in the NPI registry since September 2021. The organization lists Frank Robert Rose, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1306515812
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePRIME PSYCH VA, LLC
Location Address7751 SQUIRREL LEVEL RDNorth Dinwiddie, VA 23803-7637
Mailing Address1050 Temple Ave # 524Colonial Heights, VA 23834-2981 · (804) 695-6633
Phone(804) 695-6633
Fax(855) 978-2324
Organization SubpartNo
Authorized OfficialFrank Robert RoseLicensed Clinical Psychologist · (804) 695-6633
Enumeration DateSeptember 8, 2021
Last NPPES UpdateJanuary 21, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1306515812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
7751 SQUIRREL LEVEL RD, North Dinwiddie, VA 23803
Open in Google Maps ↗

Other Identifiers 2

Other1043738206Npi Type 1
Other0810005750VA · Va Lcp Id#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20211117002440Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Frank Rose, PSYD
Clinical Psychologist
NPI 1043738206
7751 SQUIRREL LEVEL RD
North Dinwiddie, VA 23803
(804) 695-6533
✔ 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 Prime Psych VA, LLC's NPI number?

The NPI number for Prime Psych VA, LLC is 1306515812. It was assigned to this organization in the NPPES registry on September 8, 2021.

Where is Prime Psych VA, LLC located?

Prime Psych VA, LLC is located at 7751 Squirrel Level Rd, North Dinwiddie, VA 23803. The listed phone number is (804) 695-6633.

What is Prime Psych VA, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Prime Psych VA, LLC enrolled in Medicare?

Yes. Prime Psych VA, LLC is registered in the Medicare PECOS enrollment system.

When is Prime Psych VA, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Prime Psych VA, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Prime Psych VA, 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 Prime Psych VA, LLC was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.