Rivanna Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RIVANNA COUNSELING LLC

Practice address

800 E Jefferson St Ste 101
Charlottesville, VA 22902-5180

Phone

(434) 233-4536

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Brenda Lee Doremus-Daniel, LCSWNPI 1649526393

Title

Provider

Phone

(434) 233-4536

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Lee Doremus-Daniel, L.C.S.W.

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1649526393
  Medicare reassignment Care Compare group Authorized official
• Amit Ashok Shahane, PH.D.

  • Clinical Psychologist
  • Charlottesville, VA
  • NPI 1417264912
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1043810062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E JEFFERSON ST STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025180",
            "telephone_number": "434-233-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E JEFFERSON ST STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025180",
            "telephone_number": "434-233-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVANNA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "DOREMUS-DANIEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "434-233-4536",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600874766",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda@rivannacounseling.com",
            "affiliation": "N",
            "address_1": "800 E Jefferson St Ste 101",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229025180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Ritchardson, MD
• Alec Jay Ritter
• Lane A. Ritter, M.D,
• Lee M Ritterband
• Rivanna Concierge Physicians, PLLC
• Rivanna Family Medicine, P.C.
• Rivanna Hearing Center LLC
• River Run Dental of Seminole Trail PLLC
• Naylee Rivera-Dejesus, BEHAVIOR TECHNICIAN
• Gabriel Adrian Rivera-Delgado, MD

• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.