NPIMap

Organization Active NPI

Tree of Life Christian Counseling

  • Community/Behavioral Health Agency
  • Lynchburg, VA
National Provider Identifier
1063740298
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
83102029 Issued in VA
Legal business name
TREE OF LIFE CHRISTIAN COUNSELING
Practice address
1512 Florida Ave
Lynchburg, VA 24501-4112
Phone
(434) 832-2100
Fax
(434) 832-2296
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Philicia Jefferson, PH.D.NPI 1730102518
Title
Ceo
Phone
(540) 834-7627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 83102029 VA Primary

Addresses

Primary practice location

1512 Florida Ave
Lynchburg, VA 24501-4112

Mailing address

PO Box 42111
Fredericksburg, VA 22404-2111
Phone (540) 834-7627

Other names 1

  • The Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Philicia Jefferson Wilson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1063740298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42111",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224042111",
            "telephone_number": "540-834-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 FLORIDA AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245014112",
            "telephone_number": "434-832-2100",
            "fax_number": "434-832-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "PHILICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-834-7627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "83102029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.