Individual provider Active NPI

Jonathan D. Durst, LPC, LMHC

  • Mental Health Counselor
  • Forest, VA
National Provider Identifier
1215067590
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004235 Issued in NY
Practice address
1075 Light Blvd
Forest, VA 24551-5094
Phone
(434) 384-1594
Fax
(434) 384-3228
NPI assigned
Mar 6, 2007
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 231125
Mental Health Counselor 101YM0800X 004235 NY Primary
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X C 0500011 OH

Addresses

Primary practice location

1075 Light Blvd
Forest, VA 24551-5094

Mailing address

1075 Light Blvd
Forest, VA 24551-5094

Other identifiers 1

IdentifierTypeStateIssuer
6289140OtherOHUNITED BEHAVIORAL HEALTH

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
I20241018003833 VA Practitioner - Mental Health Counselor 7911439617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

129 Vista Centre Dr
Suite B
Forest, VA 24551-2780
Phone (434) 384-1594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C 0500011OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light Counseling, Inc. Professional CurrentSince Jun 1, 2024 Accepting new patients
Bedrock Counseling Ministries Mental Health Past Accepting new patients
Light Counseling, Inc. Professional PastSince Nov 13, 2022 Accepting new patients

Locations

8 Radford St
Ste 102A
Christiansburg, VA 24073
Phone (434) 384-3228

215 Temple Ave
Ste B
Colonial Hgts, VA 23834
Phone (804) 526-0107

1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515

129 Vista Centre Dr
Ste B
Forest, VA 24551

12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364

20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 384-1591

Organizations & group practices 3

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1215067590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LIGHT BLVD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LIGHT BLVD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245515094",
            "telephone_number": "434-384-1594",
            "fax_number": "434-384-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURST",
        "first_name": "JONATHAN",
        "middle_name": "D.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "231125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004235",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C 0500011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6289140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.