Eric Gutierrez, LPC
Individual provider Active NPI Professional Counselor · Roanoke, VA
NPI 1023557261 · NPPES record last updated Feb 21, 2017
Key facts
- NPI
- 1023557261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701006999 (VA)
- Practice address
- 5401 Fallowater LN
Roanoke, VA 24018-0948 - Phone
- (540) 989-1383
- Fax
- (540) 989-8092
- NPI assigned
- Feb 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bath County Community Hospital
Practice addresses (Care Compare)
PO Box Z
Hot Springs, VA 24445
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206003111 | VA | Practitioner - Mental Health Counselor | 3678916723 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath County Community Hospital | Current |
Accepting new patients |
Locations
713 S Monroe Ave
Covington, VA 24426
Phone (540) 962-1122
322 W Riverside St
Covington, VA 24426
Phone (540) 962-1122
432 Church St
Millboro, VA 24460
Phone (540) 962-5049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701006999 | VA | Yes |
Addresses
Primary practice location
5401 Fallowater LN
Roanoke, VA 24018-0948
Mailing address
5401 Fallowater LN
Roanoke, VA 24018-0948
Phone (540) 989-1383
Other providers in Roanoke, VA
- Benjamin Gustafson
- Judy S. Gustafson
- Rachel Lynn Gustafson
- Kevin Richard Gutermuth
- Jessica Lynn Gutierrez-Arnold
- Naun Eduardo Gutierrez Jr.
- Skyler Gutierrez
- Sarah Alyse Guzinski-Homcha
- Jenna Lee Guzman
- Kaitlyn Gwozdecki
All providers in Roanoke, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.