Josephine Emma Iwatsubo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2300 Commonwealth Dr Ste 200
Charlottesville, VA 22901-1894

Phone

(804) 928-1024

NPI assigned

Jul 9, 2020

Last updated

Jul 9, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Piedmont Counseling Collective, LLC

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1023902368
  NPD Authorized official

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1205454972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SUNSET AVENUE EXT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229037861",
            "telephone_number": "804-928-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMMONWEALTH DR STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011894",
            "telephone_number": "804-928-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3040 Avemore Lane",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "22911",
            "country_code": "US",
            "telephone_number": "434-220-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWATSUBO",
        "first_name": "JOSEPHINE EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy Counseling and Wellness LLC
• Ivy Family Medicine, PLC
• Ivy Road Family Solutions
• Ivyrehab Sept, LLC (Spectrum Physical Therapy)
• Ivyrehab Sept, LLC
• Siddhanth Iyer, MD
• J Anderson Thomson Jr MD PLC
• J. Anderson Thomson, Jr., M.D.,P.C
• J. Kaye Halsey, M.D., PC
• Ja Cantu Service Group LLC (Chiropractic Office)

• Mental Health Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.