Individual provider Active NPI

Janan F Hurst, LCSW

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1104880517
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003059 Issued in VA
Practice address
460 W Main St
Abingdon, VA 24210-2608
Phone
(276) 628-5752
Fax
(276) 628-5190
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904003059 VA Primary

Addresses

Primary practice location

460 W Main St
Abingdon, VA 24210-2608

Mailing address

460 W Main St
Abingdon, VA 24210-2608
Phone (276) 628-5752

Other identifiers 4

IdentifierTypeStateIssuer
215756OtherVAANTHEM
412249OtherVAVALUE OPTIONS
MAGELLANOtherVAMAGELLAN
004945298MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003059VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abingdon Integrative Psychiatry LLC CurrentSince Nov 1, 2018 Accepting new patients
Flora Counseling Services Inc Clinical Past Accepting new patients
Mount Rogers Community Services PastSince Jan 1, 1992 Accepting new patients

Locations

468 E Main St
Ste 300A
Abingdon, VA 24210
Phone (276) 608-4388

Organizations & group practices 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1104880517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102608",
            "telephone_number": "276-628-5752",
            "fax_number": "276-628-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102608",
            "telephone_number": "276-628-5752",
            "fax_number": "276-628-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "JANAN",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "215756",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "412249",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "MAGELLAN",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945298",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.