Individual provider Active NPI

Deron Ernst, LPC

  • Professional Counselor
  • Bristol, VA
National Provider Identifier
1083060750
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
733 Issued in TN
Practice address
261 North St
Bristol, VA 24201-3275
Phone
(276) 254-5445
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012954 VA
Professional Counselor 101YP2500X 10712 TX
Professional Counselor 101YP2500X 733 TN Primary

Addresses

Primary practice location

261 North St
Bristol, VA 24201-3275

Mailing address

PO Box 352
Abingdon, VA 24212-0352
Phone (276) 254-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 16, 2024 through Oct 16, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701012954VAMDProfessional Counselor
733TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Steps Services, Inc. CurrentSince Apr 8, 2020 Accepting new patients

Locations

481 Bradley St SW
Abingdon, VA 24210
Phone (276) 254-5445

261 North St
Bristol, VA 24201
Phone (276) 254-5445

3130 Lee Hwy
Ste 104105
Bristol, VA 24202
Phone (276) 254-5445

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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1083060750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242120352",
            "telephone_number": "276-254-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013275",
            "telephone_number": "276-254-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "DERON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012954",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10712",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.