Active NPI
Julie Berne Speasmaker, L.C.S.W.
- Mental Health Counselor
- Charlottesville, VA
National Provider Identifier
1235160128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 505 Faulconer Dr
Suite 2D
Charlottesville, VA 22903-4981 - Phone
- (434) 295-2226
- Fax
- (434) 977-4952
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | VA | Primary |
Addresses
Primary practice location
505 Faulconer Dr
Suite 2D
Charlottesville, VA 22903-4981
Mailing address
355 Bloomfield Rd
Charlottesville, VA 22903-7838
Phone (434) 295-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090400076 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235160128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 BLOOMFIELD RD",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229037838",
"telephone_number": "434-295-2226",
"fax_number": "434-977-4952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 FAULCONER DR",
"address_2": "SUITE 2D",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034981",
"telephone_number": "434-295-2226",
"fax_number": "434-977-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEASMAKER",
"first_name": "JULIE",
"middle_name": "BERNE",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.