NPIMap

Organization Active NPI

Angela McGoldrick, LPC, LLC

Doing business as LIfe in Balance Counseling and Wellness Center

  • Professional Counselor
  • Christiansburg, VA
National Provider Identifier
1093047136
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004405 Issued in VA
Legal business name
ANGELA MCGOLDRICK, LPC, LLC
Doing business as
LIfe in Balance Counseling and Wellness Center
Life in Balance C
Practice address
400 Roanoke St
Christiansburg, VA 24073-3139
Phone
(540) 381-6215
Fax
(540) 381-6216
NPI assigned
Jan 30, 2010
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mrs. Angela Marie McGoldrick, LPCNPI 1679658587
Title
Owner/Director
Phone
(540) 381-6215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701004405 VA Primary

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 names 2

  • LIfe in Balance Counseling and Wellness Center Doing business as
  • Life in Balance C Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000041 VA Part B Supplier - Clinic/Group Practice 7517118532 Receives reassigned benefits from 14 practitioners
Practice locations: Christiansburg, VA

National Provider Directory

National Provider Directory

Locations

125 Akers Farm Rd
Ste D
Christiansburg, VA 24073
Phone (540) 381-6215

400 Roanoke St
Christiansburg, VA 24073
Phone (540) 381-6215

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1093047136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733139",
            "telephone_number": "540-381-6215",
            "fax_number": "540-381-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733139",
            "telephone_number": "540-381-6215",
            "fax_number": "540-381-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA MCGOLDRICK, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MCGOLDRICK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "540-381-6215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIfe in Balance Counseling and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIfe in Balance Counseling and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life in Balance C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.