NPIMap

Organization Active NPI

Charlottesville League of Therapists, Inc

  • Counselor
  • Dillwyn, VA
National Provider Identifier
1093004871
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
411 Issued in VA
Legal business name
CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC
Practice address
1046 Main Street
Dillwyn, VA 23936
Phone
(434) 984-0023
Fax
(434) 984-4852
NPI assigned
Apr 1, 2011
Last updated
Apr 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLOTTESVILLE LEAGUE OF THERAPISTS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Victoria Gibson
Title
Regional HR Assistant
Phone
(434) 984-0023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 411 VA Primary

Addresses

Primary practice location

1046 Main Street
Dillwyn, VA 23936

Mailing address

911 E Jefferson St
Charlottesville, VA 22902-5355
Phone (434) 984-0023

Other names 1

  • South Central League of Therapists Other name

National Provider Directory

National Provider Directory
Tax ID family
Charlottesville League of Therapists22 organizations share this tax ID, including this one
Part of
Charlottesville League of Therapists

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1093004871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E JEFFERSON ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025355",
            "telephone_number": "434-984-0023",
            "fax_number": "434-984-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MAIN STREET",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "23936",
            "telephone_number": "434-984-0023",
            "fax_number": "434-984-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "REGIONAL HR ASSISTANT",
        "authorized_official_telephone_number": "434-984-0023"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central League of Therapists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dillwyn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.