Individual provider Active NPI

Heather Lynch, LPC

  • Professional Counselor
  • Pounding Mill, VA
National Provider Identifier
1083023162
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004800 Issued in VA
Practice address
220 Clay Dr
Pounding Mill, VA 24637-4320
Phone
(276) 963-3606
NPI assigned
Aug 4, 2014
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004800 VA Primary

Addresses

Primary practice location

220 Clay Dr
Pounding Mill, VA 24637-4320

Mailing address

220 Clay Dr
Pounding Mill, VA 24637-4320
Phone (276) 963-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424001473 VA Practitioner - Mental Health Counselor 9335587344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Propel Counseling Group, LLCGroup PAC ID 6709224710, 6 clinicians

Practice addresses (Care Compare)

203 Chase St
Clintwood, VA 24228-2030
Phone (276) 219-3237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004800VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Propel Counseling Group, LLC Professional CurrentSince Oct 5, 2020 Accepting new patients
Family Preservation Services LLC PastSince Sep 14, 2020 Accepting new patients

Locations

203 Chase St
Clintwood, VA 24228
Phone (276) 219-3237

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1083023162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CLAY DR",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374320",
            "telephone_number": "276-963-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CLAY DR",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374320",
            "telephone_number": "276-963-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "HEATHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pounding Mill, VA

Sources for this page

Verify at the official NPI Registry.