Active NPI
Vanessa Landgrave, MA, LPC
- Mental Health Counselor
- Charleston, WV
National Provider Identifier
1083129100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2322
- Practice address
- 1021 Quarrier St Ste 414
Charleston, WV 25301-2331 - Phone
- (304) 340-3676
- NPI assigned
- Dec 12, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2322 | WV | Primary |
Addresses
Primary practice location
1021 Quarrier St Ste 414
Charleston, WV 25301-2331
Mailing address
1021 Quarrier St Ste 414
Charleston, WV 25301-2331
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Connection | Past | Accepting new patients | |
| Family Counseling Connections | Mental Health | Past | Accepting new patients |
| Kanawha Pastoral Counseling Center | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Charleston, WV
- NPI 1659594638
-
- Mental Health Counselor
- Charleston, WV
- NPI 1548519887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1083129100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 414",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 414",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012331",
"telephone_number": "304-340-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDGRAVE",
"first_name": "VANESSA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "2322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.