Individual provider Active NPI

Mary Powell, L.P.C.

  • Professional Counselor
  • Waynesboro, VA
National Provider Identifier
1114469988
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002531 Issued in VA
Practice address
71 Wilson Blvd.
Suite A01
Waynesboro, VA 22939-2283
Phone
(540) 836-3659
Fax
(434) 465-6950
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002531 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 508942 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000040 VA
Marriage & Family Therapist 106H00000X 0717000438 VA

Addresses

Primary practice location

71 Wilson Blvd.
Suite A01
Waynesboro, VA 22939-2283

Mailing address

1233 Frederick St
Waynesboro, VA 22980-5507
Phone (540) 836-3659

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
I20240506000773 VA Practitioner - Marriage and Family Therapist 9032559224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

71 Wilson Blvd
Suite C
Fishersville, VA 22939-2283
Phone (540) 836-3659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0718000040VAMDAddiction (Substance Use Disorder) Counselor
508942VAMDAddiction (Substance Use Disorder) Counselor
0701002531VAMDProfessional Counselor
0717000438VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Counseling Services LLC CurrentSince Mar 16, 2024 Accepting new patients

Locations

71 Wilson Blvd
Ste C
Fishersville, VA 22939
Phone (540) 836-3659

71 Wilson Blvd
Ste A1
Fishersville, VA 22939
Phone (540) 886-5060

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1114469988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 FREDERICK ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229805507",
            "telephone_number": "540-836-3659",
            "fax_number": "540-434-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WILSON BLVD.",
            "address_2": "SUITE A01",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229392283",
            "telephone_number": "540-836-3659",
            "fax_number": "434-465-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARY",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002531",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "508942",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000040",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.