NPIMap

Organization Active NPI

Charlottesville League of Therapists, Inc.

  • Counselor
  • Waynesboro, VA
National Provider Identifier
1043499163
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC.
Practice address
2234 W Main St
Waynesboro, VA 22980-1739
Phone
(540) 949-7045
Fax
(540) 949-8897
NPI assigned
Oct 25, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLOTTESVILLE LEAGUE OF THERAPISTS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Jaime Marion, LCSW
Title
Site Director
Phone
(540) 949-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2234 W Main St
Waynesboro, VA 22980-1739

Mailing address

911 E Jefferson St
Charlottesville, VA 22902-5355
Phone (434) 984-0023

Other names 1

  • Augusta League of Therapists Other name

National Provider Directory

National Provider Directory
Tax ID family
Charlottesville League of Therapists22 organizations share this tax ID, including this one
Part of
Charlottesville League of Therapists

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1043499163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E JEFFERSON ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025355",
            "telephone_number": "434-984-0023",
            "fax_number": "434-984-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 W MAIN ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229801739",
            "telephone_number": "540-949-7045",
            "fax_number": "540-949-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "SITE DIRECTOR",
        "authorized_official_telephone_number": "540-949-7045",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta League of Therapists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.