Individual provider Active NPI

Julie Berne Speasmaker, L.C.S.W.

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1235160128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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

LicenseStateTypeSpecialty
090400076VAMDMental 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.

Verify at the official NPI Registry.