Individual provider Active NPI

Virginia L Monk, LPC

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1114073426
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16153 Issued in TX
Practice address
4211 W Interstate 40
Suite 203
Amarillo, TX 79106-6053
Phone
(806) 374-5950
Fax
(806) 358-4345
NPI assigned
Jan 27, 2007
Reactivated
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 16153 TX Primary

Addresses

Primary practice location

4211 W Interstate 40
Suite 203
Amarillo, TX 79106-6053

Mailing address

8451 Kemper Rd
Canyon, TX 79015-7922
Phone (806) 656-0408

Other identifiers 1

IdentifierTypeStateIssuer
16153OtherTXLICENSE NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16153TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wib Newton, PLLC Past Accepting new patients
Tipton Psychological Services, PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1114073426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 KEMPER RD",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790157922",
            "telephone_number": "806-656-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 W INTERSTATE 40",
            "address_2": "SUITE 203",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066053",
            "telephone_number": "806-374-5950",
            "fax_number": "806-358-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "VIRGINIA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2018-06-11",
        "deactivation_date": "2018-05-31",
        "reactivation_date": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "16153",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.