Individual provider Active NPI

Mary Michele Bauman, LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1093069981
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005025 Issued in VA
Practice address
800 5TH St
Lynchburg, VA 24504
Phone
(434) 200-3366
NPI assigned
Oct 31, 2012
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701005025 VA
Professional Counselor 101YP2500X 0701005025 VA Primary

Addresses

Primary practice location

800 5TH St
Lynchburg, VA 24504

Mailing address

3600 Plymouth PL
Lynchburg, VA 24503-1305

Other practice location 1

2215 Langhorne Rd
Lynchburg, VA 24501-1121
Phone (434) 948-4831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240307002044 VA Practitioner - Mental Health Counselor 0749626125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Access NetworkGroup PAC ID 8224333026, 14 clinicians

Practice addresses (Care Compare)

700 12TH St
Suite 706
Lynchburg, VA 24504-3037

800 5TH St
Lynchburg, VA 24504-2848
Phone (434) 200-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005025VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Access Network CurrentSince Jan 1, 2024 Accepting new patients
Horizon Behavioral Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000

800 5th St
Lynchburg, VA 24504
Phone (434) 200-3366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/221/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEDHBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1093069981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PLYMOUTH PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24504",
            "telephone_number": "434-200-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Langhorne Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011121",
            "country_code": "US",
            "telephone_number": "434-948-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "MARY",
        "middle_name": "MICHELE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701005025",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.