Active NPI
Renee Anderson, LPC
- Professional Counselor
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008326
- Practice address
- 106 Southpark Dr Ste C
Blacksburg, VA 24060-6809 - Phone
- (540) 361-6270
- NPI assigned
- Jul 6, 2006
- Last updated
- Jun 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2980 | NC | |
| Professional Counselor | 101YP2500X | 0701008326 | VA | Primary |
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
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
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Southpark Dr
Suite C
Blacksburg, VA 24060-6809
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008326 | VA | MD | Professional Counselor |
| 2980 | NC | MD | Pediatric Occupational Therapist |
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aram Counseling Services
- Psychiatric/Mental Health Nurse Practitioner
- Lansdowne, VA
- NPI 1174103014
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1124050869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 SOUTHPARK DR STE C",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606809",
"telephone_number": "540-361-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 SOUTHPARK DR STE C",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606809",
"telephone_number": "540-361-6270"
}
],
"practiceLocations": [
{
"address_1": "1381 Crossings Center Dr Ste E",
"address_purpose": "LOCATION",
"city": "Forest",
"state": "VA",
"postal_code": "245514976",
"country_code": "US",
"telephone_number": "434-219-5621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "RENEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2980",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
- Tommy Mikal Amal
- Amedisys Home Health, Inc. of Virginia (Amedisys Home Health of Blacksburg)
- Nida Amir
- Karen Anders
- Emily Jill Anderson, LPC
- Matthew Todd Ankrum, D.D.S, M.S.
- Satish Annadata, M.D., M.P.H.
- Anne Jacobsen LLC
- Richard L Anthony, DDS
- Apple Gate Health Services, Inc (AppleGate Recovery Blacksburg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.