Individual provider Active NPI

Christina Marie Percival, LPC

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1215446026
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007279 Issued in VA
Practice address
800 Preston Ave
Charlottesville, VA 22903-4420
Phone
(434) 972-1851
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007279 VA Primary

Addresses

Primary practice location

800 Preston Ave
Charlottesville, VA 22903-4420

Mailing address

800 Preston Ave
Charlottesville, VA 22903-4420
Phone (434) 972-1851

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
I20250428003568 VA Practitioner - Mental Health Counselor 0446776942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Region Ten Community Community Services BoardGroup PAC ID 3971401308, 18 clinicians

Practice addresses (Care Compare)

800 Preston Ave
Charlottesville, VA 22903-4420
Phone (804) 972-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007279VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Region Ten Community Community Services Board Mental Health CurrentSince Feb 15, 2025 Accepting new patients

Locations

100 Burnet St
Charlottesville, VA 22902
Phone (434) 972-1800

500 Old Lynchburg Rd
Charlottesvle, VA 22903
Phone (434) 972-1800

800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215446026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PRESTON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034420",
            "telephone_number": "434-972-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRESTON AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034420",
            "telephone_number": "434-972-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIVAL",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.