Active NPI
Christy M Cundiff, LPC, PHD CAND.
- Professional Counselor
- Roanoke, VA
National Provider Identifier
1023244662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004600
- Practice address
- 3635 Manassas Dr
Roanoke, VA 24018-4031 - Phone
- (540) 774-4686
- NPI assigned
- Jun 10, 2009
- Last updated
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 0701004600 | VA | Primary |
Addresses
Primary practice location
3635 Manassas Dr
Roanoke, VA 24018-4031
Mailing address
3635 Manassas Drive, SW
Roanoke, VA 24014
Phone (540) 774-4686
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 |
|---|---|---|---|
| 0701004600 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avery E Kerr Dmin LPC LLC | Past | Accepting new patients | |
| Windowlights, LLC | Past | Accepting new patients | |
| Onstead Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Avery Kerr DMin LPC LLC
- Mental Health Counselor
- Roanoke, VA
- NPI 1366265357
-
- Clinical Social Worker
- Danville, VA
- NPI 1588231419
-
- Counselor
- Roanoke, VA
- NPI 1457286577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244592000000",
"number": "1023244662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 MANASSAS DRIVE, SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24014",
"telephone_number": "540-774-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 MANASSAS DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240184031",
"telephone_number": "540-774-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDIFF",
"first_name": "CHRISTY",
"middle_name": "M",
"credential": "LPC, PHD CAND.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2009-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
- Cumins Therapy & Fitness Training LLC
- David Kenneth Cumins, MPT
- Kelly Jo Cummings-Karkenny, LPC
- David Andrew Cummings, DO
- Megan Phyllis Cummins, PA-C
- Kevin Scott Cundiff, LMFT
- Olivia Cunningham, DO
- Joshua A Cuoco, DO
- Curis at Roanoke Opco LLC (Curis at Roanoke Transitional Care & Rehabilitation Center)
- Amanda Rose Curnow, PA-S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.