NPIMap

Organization Active NPI

Counseling Associates of Southwest Virginia, Inc.

  • Mental Health Counselor
  • Blacksburg, VA
National Provider Identifier
1104071505
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUNSELING ASSOCIATES OF SOUTHWEST VIRGINIA, INC.
Practice address
200 Professional Park Dr SE Ste 1
Blacksburg, VA 24060-6663
Phone
(540) 552-1402
Fax
(540) 552-3428
NPI assigned
Nov 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Authorized official

Name
Dr. Dianne S. Jones-Freeman, ED.D.NPI 1083763460
Title
President
Phone
(540) 552-1402

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

200 Professional Park Dr SE Ste 1
Blacksburg, VA 24060-6663

Mailing address

200 Professional Park Dr SE Ste 1
Blacksburg, VA 24060-6663
Phone (540) 552-1402

National Provider Directory

National Provider Directory
Tax ID family
Counseling Associates of Southwest Virginia Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

200 Professional Park Dr SE
Ste 1
Blacksburg, VA 24060
Phone (540) 552-1402

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1104071505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL PARK DR SE STE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606663",
            "telephone_number": "540-552-1402",
            "fax_number": "540-552-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROFESSIONAL PARK DR SE STE 1",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606663",
            "telephone_number": "540-552-1402",
            "fax_number": "540-552-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF SOUTHWEST VIRGINIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "JONES-FREEMAN",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-552-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.