Individual provider Active NPI

Erika Boward Wormeley, MA, LPC

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1194349449
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009958 Issued in VA
Practice address
701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792
Phone
(540) 322-5424
NPI assigned
Jun 2, 2020
Last updated
Nov 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103113 VA
Professional Counselor 101YP2500X 0701009958 VA Primary

Addresses

Primary practice location

701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792

Mailing address

701 Kenmore Ave Ste 105
Fredericksburg, VA 22401-5792

Other practice location 1

150 Riverside Pkwy Ste 207
Fredericksburg, VA 22406-1094
Phone (540) 779-8398

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
I20240424002276 VA Practitioner - Mental Health Counselor 8921448945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0710103113VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jurni Consulting, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

150 Riverside Pkwy
Ste 207
Fredericksburg, VA 22406
Phone (540) 446-1085

5608 Southpoint Centre Blvd
Ste 101
Fredericksburg, VA 22407
Phone (540) 426-1068

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1194349449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 KENMORE AVE STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015792",
            "telephone_number": "540-322-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Riverside Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224061094",
            "country_code": "US",
            "telephone_number": "540-779-8398",
            "fax_number": "540-301-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORMELEY",
        "first_name": "ERIKA",
        "middle_name": "BOWARD",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103113",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.