Individual provider Active NPI

Whitney L Maddox, LPC

  • Mental Health Counselor
  • Winchester, VA
National Provider Identifier
1194174151
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006663 Issued in VA
Practice address
172 Linden Dr Ste 111
Winchester, VA 22601-2892
Phone
(540) 536-4881
Fax
(540) 536-3274
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006663 VA
Mental Health Counselor 101YM0800X 0701006663 VA Primary

Addresses

Primary practice location

172 Linden Dr Ste 111
Winchester, VA 22601-2892

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wmaddox679624@soc.inova.org
Direct Messaging Address wmaddox679624@soc.inova.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203001323 VA Practitioner - Mental Health Counselor 7517492358 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701006663VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Aug 2, 2024 Accepting new patients
Winchester Medical Center CurrentSince Aug 2, 2024 Accepting new patients
Winchester Medical Center Professional CurrentSince Aug 2, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Aug 2, 2024 Accepting new patients
Winchester Medical Center Current Accepting new patients

Locations

172 Linden Dr
Ste 111
Winchester, VA 22601
Phone (540) 535-0269

337 Westside Station Dr
Winchester, VA 22601
Phone (540) 536-4881

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 100
Winchester, VA 22601

220 Campus Blvd
Ste 320
Winchester, VA 22601

759 S Main St
Ste 107
Woodstock, VA 22664
Phone (540) 459-1262

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

Interoperability endpoints

  • Direct secure messaging: wmaddox679624@soc.inova.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1194174151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINDEN DR STE 111",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012892",
            "telephone_number": "540-536-4881",
            "fax_number": "540-536-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "WHITNEY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006663",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmaddox679624@soc.inova.org",
            "affiliation": "N",
            "address_1": "172 Linden Dr Ste 111",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmaddox679624@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St Ste 107",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.