Peachtree Counseling Center, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

PEACHTREE COUNSELING CENTER, INC.

Practice address

798 Leesville Road
Lynchburg, VA 24502

Phone

(434) 239-1928

Fax

(434) 239-8779

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Deborah M. Maxey, PHDNPI 1972667194

Title

President

Phone

(434) 239-1928

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

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

• Deborah M Maxey, PHD LPC LMFT

  • Counselor
  • Lynchburg, VA
  • NPI 1972667194
  NPD (past) Authorized official
• Rebecca T Bergum, LPC, CSAC

  • Professional Counselor
  • Charlottesville, VA
  • NPI 1356411169
  NPD (past)
• Nona Morrison Puckett, MED RN LPC

  • Counselor
  • Lynchburg, VA
  • NPI 1326116815
  NPD (past)
• Barbara H Rodgers, LPC, MFT

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1902090616
  NPD (past)
• Lindsay A Tibbs, LPC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1306121595
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1053549592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 LEESVILLE ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-239-1928",
            "fax_number": "434-239-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 LEESVILLE ROAD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-239-1928",
            "fax_number": "434-239-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-239-1928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "BC/BS8VA",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Gordon Pavalonis, D.O.
• Elizabeth Dover Payne, RD
• Leslie Miller Payne, CPM
• Jesse Isaac Payton, MD
• Peace of Mind Counseling, LLC
• Cherice Tyrhonda Peagler, LPC
• Juli Peak, LPC
• Shannon Robertson Peak, FNP-BC
• Rachel Peake
• Pamela Pearce-Pearson

• Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.