Organization Active NPI

Teresa Imani Billingsley LLC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1225885015
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TERESA IMANI BILLINGSLEY LLC
Practice address
101 Duncraig Dr Unit 107
Lynchburg, VA 24502-5790
Phone
(434) 277-3236
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Teresa Imani BillingsleyNPI 1831200021
Title
Owner
Phone
(434) 277-3236

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 Counselor 101YP2500X NU Primary

Addresses

Primary practice location

101 Duncraig Dr Unit 107
Lynchburg, VA 24502-5790

Mailing address

101 Duncraig Dr Unit 107
Lynchburg, VA 24502-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240815002171 VA Part B Supplier - Clinic/Group Practice 9537607064 Receives reassigned benefits from 1 practitioner
Practice locations: Lynchburg, VA

National Provider Directory

National Provider Directory

Locations

101 Duncraig Dr
Unit 107
Lynchburg, VA 24502
Phone (434) 277-3236

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1225885015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUNCRAIG DR UNIT 107",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUNCRAIG DR UNIT 107",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025790",
            "telephone_number": "434-277-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA IMANI BILLINGSLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "IMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-277-3236"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.