Active NPI
Mary Powell, L.P.C.
- Professional Counselor
- Waynesboro, VA
National Provider Identifier
1114469988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0718000040 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 508942 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701002531 | VA | MD | Professional Counselor |
| 0717000438 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Counseling Services LLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Fishersville, VA
- NPI 1386418358
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.