Individual provider Active NPI

Berkley Carter Holston, LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1104238369
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005790 Issued in VA
Practice address
620 Court St
Fifth Floor
Lynchburg, VA 24504-1312
Phone
(434) 485-8873
Fax
(434) 485-8877
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005790 VA Primary

Addresses

Primary practice location

620 Court St
Fifth Floor
Lynchburg, VA 24504-1312

Mailing address

620 Court St
Fifth Floor
Lynchburg, VA 24504-1312
Phone (434) 485-8873

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
I20240322000813 VA Practitioner - Mental Health Counselor 5193162410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Counseling PLLCGroup PAC ID 8022493220, 10 clinicians

Practice addresses (Care Compare)

808 Wiggington Rd
Suite D
Lynchburg, VA 24502-5155
Phone (434) 616-4980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005790VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Counseling PLLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

808 Wiggington Rd
Ste D
Lynchburg, VA 24502
Phone (434) 616-4980

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1104238369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "address_2": "FIFTH FLOOR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-485-8873",
            "fax_number": "434-485-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "address_2": "FIFTH FLOOR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-485-8873",
            "fax_number": "434-485-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTON",
        "first_name": "BERKLEY",
        "middle_name": "CARTER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.