NPIMap

Organization Active NPI

Olive Tree Counseling, LLC

  • Mental Health Counselor
  • Chatham, VA
National Provider Identifier
1134747256
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OLIVE TREE COUNSELING, LLC
Practice address
1186 Fairview N
Chatham, VA 24531-3384
Phone
(434) 770-4326
NPI assigned
Jul 7, 2020
Last updated
Jul 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Marie Rackley Paddock, LPC, NCC, EMDRNPI 1669995874
Title
Owner/Operator
Phone
(434) 770-4326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1186 Fairview N
Chatham, VA 24531-3384

Mailing address

PO Box 860
Chatham, VA 24531-0860
Phone (434) 770-4326

National Provider Directory

National Provider Directory

Locations

1186 Fairview N
Chatham, VA 24531
Phone (276) 224-9316

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1134747256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245310860",
            "telephone_number": "434-770-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 FAIRVIEW N",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245313384",
            "telephone_number": "434-770-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "PADDOCK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "RACKLEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "434-770-4326",
        "authorized_official_credential": "LPC, NCC, EMDR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.