Active NPI
Michael Christopher Gilliam, LPC
- Professional Counselor
- Fredericksburg, VA
National Provider Identifier
1073447561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701015855
- Practice address
- 10712 Ballantraye Dr Ste 304
Fredericksburg, VA 22407-4702 - Phone
- (540) 446-0007
- NPI assigned
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701015855 | VA | Primary |
Addresses
Primary practice location
10712 Ballantraye Dr Ste 304
Fredericksburg, VA 22407-4702
Mailing address
1218 Carodon Dr
Ruckersville, VA 22968-3186
Phone (434) 882-1476
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Counseling Group, Inc | Professional | 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.
-
- Mental Health Counselor
- Fredericksburg, VA
- NPI 1932342359
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1073447561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 CARODON DR",
"city": "RUCKERSVILLE",
"state": "VA",
"postal_code": "229683186",
"telephone_number": "434-882-1476",
"fax_number": "434-882-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10712 BALLANTRAYE DR STE 304",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224074702",
"telephone_number": "540-446-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701015855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.