Active NPI
Martha L Anderson
- Professional Counselor
- Christiansburg, VA
National Provider Identifier
1225325624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001698
- 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, LPC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martha Lewis Anderson, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184716482 | Medicaid | VA | |
| 1B208449 | Other | VA | ANTHEM |
| 005408005 | Medicaid | VA |
Other names 1
- ACFT
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Christiansburg, VA
- NPI 1184716482
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.