Active NPI
Rita Kay Lynch, LPC
- Professional Counselor
- South Boston, VA
National Provider Identifier
1023286200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003998
- Practice address
- 504 Wilborn Ave
South Boston, VA 24592-3120 - Phone
- (434) 517-3654
- NPI assigned
- Feb 11, 2008
- 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 | 0701003998 | VA | Primary |
Addresses
Primary practice location
504 Wilborn Ave
South Boston, VA 24592-3120
Mailing address
504 Wilborn Ave
South Boston, VA 24592-3120
Phone (434) 517-3654
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206003092 | VA | Practitioner - Mental Health Counselor | 0941643092 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southside Behavioral Health
Practice addresses (Care Compare)
823 N Mecklenburg Ave
South Hill, VA 23970-1527
Phone (434) 447-7601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Behavioral Health | Current | Accepting new patients |
Locations
523 Madison St
Boydton, VA 23917
Phone (434) 738-0154
424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936
823 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-7601
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": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1023286200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 WILBORN AVE",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245923120",
"telephone_number": "434-517-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 WILBORN AVE",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245923120",
"telephone_number": "434-517-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "RITA",
"middle_name": "KAY",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.