Angela McGoldrick, LPC, LLC
Organization Active NPI Professional Counselor · Christiansburg, VA
NPI 1093047136 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1093047136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701004405 (VA)
- Legal business name
- ANGELA MCGOLDRICK, LPC, LLC
- Practice address
- 400 Roanoke St
Christiansburg, VA 24073-3139 - Phone
- (540) 381-6215
- Fax
- (540) 381-6216
- NPI assigned
- Jan 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela Marie McGoldrick, LPC
- Title
- Owner/Director
- Phone
- (540) 381-6215
Practitioners 22
-
Andrew G Burns, LPC
-
Arielle Pollack, LPC
-
Erin Sullivan, LCSW
-
Kathryn Anderson, LPC
-
Melissa Blau, LCSW
-
Erin Marie Justis, LCSW
-
Sarah Rae Trenis, LPC
-
Brandi Alane Gray, LPC
-
Season Childress, LPC
-
Molly Ann Chin, LCSW
-
Kati Griggs, LPC
-
Jennifer Mercier, LPC
-
Stel Elaine Washburn, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121121000041 | VA | Part B Supplier - Clinic/Group Practice | 7517118532 |
Receives reassigned benefits from 14 practitioners Practice locations: Christiansburg, VA |
National Provider Directory
Locations
125 Akers Farm Rd
Ste D
Christiansburg, VA 24073
Phone (540) 381-6215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0701004405 | VA | Yes |
Addresses
Primary practice location
400 Roanoke St
Christiansburg, VA 24073-3139
Mailing address
400 Roanoke St
Christiansburg, VA 24073-3139
Phone (540) 381-6215
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679658587 | Medicaid | VA | |
| 600651686 | Medicaid | VA |
Other names
- LIfe in Balance Counseling and Wellness Center
- Life in Balance C
Other providers in Christiansburg, VA
- Anderson Transportation Services, LLC
- Martha Lewis Anderson
- Sandra Renee Anderson
- Angela Dawn Andrews
- Anesthesiology Associates of Radford Inc
- Tahsin Anwar
- Ghazaleh Zardoost Aram
- Arcadia Transport LLC
- Meagan Ashley Arthur
- Melissa Gentry Asbury
All providers in Christiansburg, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.