Individual provider Active NPI

John M Lancaster, LPC, LSATP, CSAC

  • Professional Counselor
  • Buena Vista, VA
National Provider Identifier
1023015864
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002063 Issued in VA
Practice address
1844 Oak Ave
Buena Vista, VA 24416-2432
Phone
(540) 319-1014
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710000717 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000006 VA
Professional Counselor 101YP2500X 0701002063 VA Primary

Addresses

Primary practice location

1844 Oak Ave
Buena Vista, VA 24416-2432

Mailing address

1844 Oak Ave
Buena Vista, VA 24416-2432
Phone (540) 319-1014

Other identifiers 1

IdentifierTypeStateIssuer
004945271MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0710000717VAMDAddiction (Substance Use Disorder) Counselor
0718000006VAMDAddiction (Substance Use Disorder) Counselor
0701002063VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1023015864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 OAK AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244162432",
            "telephone_number": "540-319-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 OAK AVE",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244162432",
            "telephone_number": "540-319-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "LPC, LSATP, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000717",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000006",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.