Organization Active NPI

Martha L Anderson

  • Professional Counselor
  • Christiansburg, VA
National Provider Identifier
1225325624
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001698 Issued in VA
Legal business name
MARTHA L ANDERSON
Practice address
3310 Eaglebrook Rd
Christiansburg, VA 24073-8106
Phone
(540) 449-2593
Fax
(540) 382-9010
NPI assigned
Jul 6, 2011
Organization subpart
Yes
Parent organization
MARTHA L ANDERSON, LPCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mrs. Martha Lewis Anderson, LPCNPI 1184716482
Title
Owner Director
Phone
(540) 449-2593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701001698 VA Primary

Addresses

Primary practice location

3310 Eaglebrook Rd
Christiansburg, VA 24073-8106

Mailing address

3310 Eaglebrook Dr.
Christiansburg, VA 24073-8106
Phone (540) 449-2593

Other identifiers 3

IdentifierTypeStateIssuer
1184716482MedicaidVA
1B208449OtherVAANTHEM
005408005MedicaidVA

Other names 1

  • ACFT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1225325624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 EAGLEBROOK DR.",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240738106",
            "telephone_number": "540-449-2593",
            "fax_number": "540-382-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 EAGLEBROOK RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240738106",
            "telephone_number": "540-449-2593",
            "fax_number": "540-382-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA L ANDERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTHA L ANDERSON, LPC",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "540-449-2593",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184716482",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1B208449",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005408005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.