Active NPI
Rhonda Jean Quesenberry, PSY.D.
- Psychologist
- Blacksburg, VA
National Provider Identifier
1043979107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810007708
- Practice address
- 1511 Trillium LN N
Blacksburg, VA 24060-9173 - Phone
- (540) 230-2205
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810007708 | VA | Primary |
Addresses
Primary practice location
1511 Trillium LN N
Blacksburg, VA 24060-9173
Mailing address
1511 Trillium LN N
Blacksburg, VA 24060-9173
Phone (540) 230-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810007708 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Counseling Services, LLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Fairfax, VA
- NPI 1497044150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1043979107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 TRILLIUM LN N",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240609173",
"telephone_number": "540-230-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 TRILLIUM LN N",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240609173",
"telephone_number": "540-230-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUESENBERRY",
"first_name": "RHONDA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810007708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.