Erika Gioia Theodorides, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004972 Issued in VA

Practice address

1000 Jefferson St.
Suite 2C
Lynchburg, VA 24504

Phone

(617) 379-0496

Fax

(617) 807-0958

NPI assigned

Mar 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Patrick Henry Family Services Operations

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1033724216
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1013215441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST.",
            "address_2": "SUITE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24504",
            "telephone_number": "617-379-0496",
            "fax_number": "617-807-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST.",
            "address_2": "SUITE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24504",
            "telephone_number": "617-379-0496",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORIDES",
        "first_name": "ERIKA",
        "middle_name": "GIOIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871542340",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Up Foundation
• The Village @ Midtown
• The Way Congregational Church
• Thekey of Lynchburg, LLC
• Amanda Lillian Thenor
• Rachel Thibault, PT
• Mary Thom, MD
• Thomas L. Walker, DDS, LTD
• Ann C Thomas, MD
• Bailey Thomas, DPT, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.