Active NPI
Luke Evan Boone, LPC
- Mental Health Counselor
- Rocky Mount, VA
National Provider Identifier
1083202295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701010176
- Practice address
- 130 Ruritan Rd
Rocky Mount, VA 24151-5238 - Phone
- (540) 420-6427
- NPI assigned
- Jan 4, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701010176 | VA | Primary |
Addresses
Primary practice location
130 Ruritan Rd
Rocky Mount, VA 24151-5238
Mailing address
130 Ruritan Rd
Rocky Mount, VA 24151-5238
Phone (540) 420-6427
Other practice location 1
1746 S Main St
Rocky Mount, VA 24151-5974
Phone (540) 484-7041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701010176 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above the Storm, LLC | Current | Accepting new patients |
Locations
98 Wirtz Rd
Ste 202
Wirtz, VA 24184
Phone (540) 352-9553
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Wirtz, VA
- NPI 1689416422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1083202295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 RURITAN RD",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241515238",
"telephone_number": "540-420-6427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 RURITAN RD",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241515238",
"telephone_number": "540-420-6427"
}
],
"practiceLocations": [
{
"address_1": "1746 S Main St",
"address_purpose": "LOCATION",
"city": "Rocky Mount",
"state": "VA",
"postal_code": "241515974",
"country_code": "US",
"telephone_number": "540-484-7041",
"fax_number": "540-484-7042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOONE",
"first_name": "LUKE",
"middle_name": "EVAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701010176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.