Robert Dewane Clements II, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0701007923 Issued in VA

Practice address

105 Hexham Dr
Lynchburg, VA 24502-3012

Phone

(434) 237-2655

NPI assigned

Feb 6, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyndhurst Counseling Center,LLCGroup PAC ID 2264979103, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wyndhurst Counseling Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1891859864

  VA

  Medicare reassignment Care Compare group NPD
• Taylored Counseling Services LLC

  • Counselor
  • Lynchburg, VA
  • NPI 1023888484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1003371857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MARGATE DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023351",
            "telephone_number": "703-405-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HEXHAM DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023012",
            "telephone_number": "434-237-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "ROBERT",
        "middle_name": "DEWANE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701007923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Clay, PT, DPT
• Lucius Dubignon Clay III, MD
• Taylor Clay
• Lisa M Clee, OTR/L
• James Clements, PA-C
• Brian Mark Clemmons, LPC
• Jay Michael Cline, M.D.
• Samantha Clingenpeel
• Timothy Clinton, ED. D
• John Newton Clore, M.D.

• Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.