Active NPI
Poppy Regina Bilbra-Jacobs, L.P.C.
- Professional Counselor
- Lynchburg, VA
National Provider Identifier
1083987796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004866
- Practice address
- 117A Tradewynd Dr
Lynchburg, VA 24502-3112 - Phone
- (434) 485-3331
- Fax
- (434) 200-6010
- NPI assigned
- Feb 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 0701004866 | VA | Primary |
Addresses
Primary practice location
117A Tradewynd Dr
Lynchburg, VA 24502-3112
Mailing address
4604 Alabama Ave
Lynchburg, VA 24502-1108
Phone (434) 485-3331
Other practice location 1
693 Leesville Rd
Lynchburg, VA 24502-2828
Phone (434) 200-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241111002670 | DC | Practitioner - Mental Health Counselor | 9739613936 | Practice locations: Arlington, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4602 28TH Rd S
Unit C
Arlington, VA 22206-1135
Phone (434) 485-3331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004866 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1083987796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 ALABAMA AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245021108",
"telephone_number": "434-485-3331",
"fax_number": "434-200-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117A TRADEWYND DR",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245023112",
"telephone_number": "434-485-3331",
"fax_number": "434-200-6010"
}
],
"practiceLocations": [
{
"address_1": "693 Leesville Rd",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245022828",
"country_code": "US",
"telephone_number": "434-200-5700",
"fax_number": "434-947-5708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BILBRA-JACOBS",
"first_name": "POPPY",
"middle_name": "REGINA",
"name_prefix": "Ms.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.