Virginia Irene Anderson, MA NCC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC013612 Issued in PA

Practice address

400 3Rd Ave Ste 218
Kingston, PA 18704-5816

Phone

(267) 702-5350

Fax

(570) 714-2878

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1174290993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 EXETER AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186431723",
            "telephone_number": "570-362-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 3RD AVE STE 218",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045816",
            "telephone_number": "267-702-5350",
            "fax_number": "570-714-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VIRGINIA",
        "middle_name": "IRENE",
        "credential": "MA NCC LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC013612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "virginia.andersonlpc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "virginia.andersonlpc@yahoo.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 3rd Ave Ste 218",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187045816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Peter J Andrews, MD
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• Arch Comfort, Inc.

• Professional Counselor in Kingston, PA
• Providers in Kingston, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.