Individual provider Active NPI

Poppy Regina Bilbra-Jacobs, L.P.C.

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1083987796
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004866 Issued in VA
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

Updated by the provider on Feb 13, 2019

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0701004866VAMDProfessional 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

Verify at the official NPI Registry.