Active NPI
Liesel Y Showalter, LPC
- Professional Counselor
- Harrisonburg, VA
National Provider Identifier
1023103470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002905
- Practice address
- 481 E Market St
Harrisonburg, VA 22801-4225 - Phone
- (540) 746-0446
- Fax
- (540) 574-2214
- NPI assigned
- Oct 3, 2006
- Last updated
- Jan 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002905 | VA | Primary |
Addresses
Primary practice location
481 E Market St
Harrisonburg, VA 22801-4225
Mailing address
481 E Market St
Harrisonburg, VA 22801-4225
Phone (540) 746-0446
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05754 | Other | VA | MEDICARE GROUP NUMBER |
| 010318297 | Medicaid | VA | |
| 279188 | Other | VA | COMPSYCH |
| 11716652 | Other | VA | CAQH |
| 235611 | Other | VA | ANTHEM |
| 0802666M | Other | VA | SENTARA |
| 1164637518 | Other | VA | GOUP NPI NUMBER |
| 581665 | Other | VA | VALUE OPTIONS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002905 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1023103470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 E MARKET ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228014225",
"telephone_number": "540-746-0446",
"fax_number": "540-574-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 E MARKET ST",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228014225",
"telephone_number": "540-746-0446",
"fax_number": "540-574-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOWALTER",
"first_name": "LIESEL",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C05754",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010318297",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "279188",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11716652",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "235611",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "0802666M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOUP NPI NUMBER",
"identifier": "1164637518",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "581665",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.