| CASE NUMBER | I-200-24170-122888 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/18/2024 |
| DECISION DATE | 6/26/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Supervisor |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | National Counseling Group, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5540 Falmouth St. |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Richmond |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23230 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18044333530 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | Riehl |
| EMPLOYER POC FIRST NAME | Nicholas |
| EMPLOYER POC MIDDLE NAME | Clark |
| EMPLOYER POC JOB TITLE | Vice President & Secretary |
| EMPLOYER POC ADDRESS1 | 5540 Falmouth St. |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Richmond |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23230 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16145806346 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | nicholas.riehl@ncgcare.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Baggett |
| AGENT ATTORNEY FIRST NAME | D. Earl |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 200 S 10th St |
| AGENT ATTORNEY ADDRESS2 | Suite 1600 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18044206478 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mwilliamson@williamsmullen.com |
| LAWFIRM NAME BUSINESS NAME | Williams Mullen |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 9301 Forest Point Circle |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Manassas |
| WORKSITE COUNTY | MANASSAS CITY |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 20110 |
| WAGE RATE OF PAY FROM | 79953.75 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $65,042.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Williamson |
| PREPARER FIRST NAME | Maeva |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Williams Mullen |
| PREPARER EMAIL | mwilliamson@williamsmullen.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
