Renee Anderson, LPC
Individual provider Active NPI Professional Counselor · Blacksburg, VA
NPI 1124050869 · NPPES record last updated Jun 5, 2024
Key facts
- NPI
- 1124050869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701008326 (VA)
- Practice address
- 106 Southpark Dr Ste C
Blacksburg, VA 24060-6809 - Phone
- (540) 361-6270
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Thrive Counseling LLC
Practice addresses (Care Compare)
106 Southpark Dr
Suite C
Blacksburg, VA 24060-6809
Phone (855) 284-7483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231221001563 | VA | Practitioner - Mental Health Counselor | 9931559671 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008326 | VA | MD | Professional Counselor |
| 2980 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current |
Accepting new patients |
| Givpour | Counselor | Past | Accepting new patients |
| Empower Counseling PC | Mental Health | Past |
Accepting new patients |
Locations
106 Southpark Dr
Ste C
Blacksburg, VA 24060
Phone (540) 361-6270
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2980 | NC | |
| Professional Counselor | 101YP2500X | 0701008326 | VA | Yes |
Addresses
Primary practice location
106 Southpark Dr Ste C
Blacksburg, VA 24060-6809
Mailing address
106 Southpark Dr Ste C
Blacksburg, VA 24060-6809
Phone (540) 361-6270
Other practice location 1
1381 Crossings Center Dr Ste E
Forest, VA 24551-4976
Phone (434) 219-5621
Other providers in Blacksburg, VA
- Tommy Mikal Amal
- Amedisys Home Health, Inc. of Virginia
- Nida Amir
- Karen Anders
- Emily Jill Anderson
- Matthew Todd Ankrum
- Satish Annadata
- Anne Jacobsen LLC
- Richard L Anthony
- Apple Gate Health Services, Inc
All providers in Blacksburg, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.