Organization Active NPI

Complete Counseling Serivces, Inc.

Doing business as Janie Mantooth LCSW Counseling

  • Clinical Social Worker
  • Bedford, VA
National Provider Identifier
1174627376
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003979 Issued in VA
Legal business name
COMPLETE COUNSELING SERIVCES, INC.
Doing business as
Janie Mantooth LCSW Counseling
Practice address
1020 Turkey Mountain Rd
Bedford, VA 24523-6635
Phone
(540) 586-8146
Fax
(540) 587-7647
NPI assigned
Sep 11, 2006
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Mrs. Janie Marie Mantooth, LCSWNPI 1003093915
Title
President Owner
Phone
(540) 586-8146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904003979 VA Primary

Addresses

Primary practice location

1020 Turkey Mountain Rd
Bedford, VA 24523-6635

Mailing address

PO Box 628
Bedford, VA 24523-0628
Phone (540) 586-8146

Other identifiers 11

IdentifierTypeStateIssuer
338400OtherVALUE OPTIONS
084296MOtherSOUTHERN BEHAVIORAL HEALT
2278616OtherFIRST HEALTH
2119434OtherMAMSI
7664336OtherAETNA
010219779OtherVIRGINIA PREMEIR
084297MOtherSENTARA
344311OtherMANAGED HEALTH NETWORK
010219779MedicaidVA
183482OtherANTHEM
233212OtherCOMPSYCH CORP

Other names 1

  • Janie Mantooth LCSW Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

155 W Main St
Bedford, VA 24523
Phone (214) 407-5359

Practitioners & affiliated clinicians

Practitioners 1

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1174627376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245230628",
            "telephone_number": "540-586-8146",
            "fax_number": "540-587-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TURKEY MOUNTAIN RD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245236635",
            "telephone_number": "540-586-8146",
            "fax_number": "540-587-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE COUNSELING SERIVCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "MANTOOTH",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "540-586-8146",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "338400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN BEHAVIORAL HEALT",
            "identifier": "084296M",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2278616",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2119434",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7664336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMEIR",
            "identifier": "010219779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "084297M",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "344311",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010219779",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "183482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH CORP",
            "identifier": "233212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janie Mantooth LCSW Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.