Bernice L Lee, LPC-R

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704007276 Issued in VA

Practice address

100 Brunswick Ave # a
Emporia, VA 23847-2010

Phone

(434) 336-1103

Fax

(434) 336-1105

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Horizon Home Care & Therapeutic Services LLC

  • In Home Supportive Care Agency
  • Rocky Mount, NC
  • NPI 1093695520
  NPD Authorized official
• Variants Testing Lab LLC

  • Clinical Medical Laboratory
  • Roanoke Rapids, NC
  • NPI 1841946092
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1043961436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1364",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701364",
            "telephone_number": "252-287-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRUNSWICK AVE # A",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472010",
            "telephone_number": "434-336-1103",
            "fax_number": "434-336-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BERNICE",
        "middle_name": "L",
        "credential": "LPC-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704007276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Pearman Jones Jr.
• Julie B. Hawley, D.D.S., P.C.
• Margaret R Kei, LCSW
• Nyeisha Kyle
• Ellen Luffman Laseter, M.S.W, L.C.S.W
• Liquitta Atkins Lee
• Legacy Care Support Services LLC
• Legacy Comprehensive Health Management LLC.
• Wynne V Legrow, M.D.
• Life Enhancement Services LLC

• Mental Health Counselor in Emporia, VA
• Providers in Emporia, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.