Individual provider Active NPI

Aja Deyon Harrison, LPC

  • Counselor
  • Danville, VA
National Provider Identifier
1013279876
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
155 Deer Run Rd
Danville, VA 24540-2863
Phone
(434) 835-4601
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701006900 VA
Counselor 101Y00000X Primary

Addresses

Primary practice location

155 Deer Run Rd
Danville, VA 24540-2863

Mailing address

155 Deer Run Rd
Danville, VA 24540-2863
Phone (434) 835-4601

Other identifiers 1

IdentifierTypeStateIssuer
0701006900OtherVALPC LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250117000352 VA Practitioner - Mental Health Counselor 3577091651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Health Partners LLCGroup PAC ID 4385972611, 6 clinicians

Practice addresses (Care Compare)

155 Deer Run Rd
Danville, VA 24540-2863
Phone (434) 835-4601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701006900VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Health Partners, LLC CurrentSince Sep 21, 2024 Accepting new patients

Locations

155 Deer Run Rd
Danville, VA 24540
Phone (434) 709-1984

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1013279876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DEER RUN RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402863",
            "telephone_number": "434-835-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DEER RUN RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402863",
            "telephone_number": "434-835-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AJA",
        "middle_name": "DEYON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701006900",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "0701006900",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.