Jane Marie Fetterman, L.P.C.
Individual provider Active NPI Professional Counselor · Luray, VA
NPI 1235567884 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1235567884
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701005127 (VA)
- Practice address
- 136 General Dr Ste 300
Luray, VA 22835-5263 - Phone
- (540) 743-4548
- Fax
- (540) 743-6067
- NPI assigned
- Oct 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Community Services Board
Practice addresses (Care Compare)
136 General Dr
Suite 300
Luray, VA 22835-5257
Phone (540) 743-4548
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260113004104 | VA | Practitioner - Mental Health Counselor | 7911483581 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005127 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Community Services Board | Professional | Current |
Accepting new patients |
Locations
209 W Criser Rd
Front Royal, VA 22630
Phone (540) 636-2931
209 W Criser Rd
Ste 300
Front Royal, VA 22630
Phone (540) 636-4250
136 General Dr
Ste 300
Luray, VA 22835
Phone (540) 743-4548
1014 Amherst St
Winchester, VA 22601
Phone (540) 545-4147
170 Prosperity Dr
Winchester, VA 22602
Phone (540) 667-8888
441 N Main St
Woodstock, VA 22664
Phone (540) 459-4946
494 N Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-5180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005127 | VA | Yes |
Addresses
Primary practice location
136 General Dr Ste 300
Luray, VA 22835-5263
Mailing address
PO Box 63
Linville, VA 22834-0063
Phone (540) 820-9886
Other practice location 1
494 N Main St Ste 300
Woodstock, VA 22664-1703
Phone (540) 459-5180
Other practice location 2
209 W Criser Rd
Front Royal, VA 22630-2360
Phone (540) 636-2931
Other providers in Luray, VA
- Margaret Emert
- Daniel Evans
- Zachary Fanaro
- Fang S Horng MD PC
- Jeffrey Michael Feit
- Mae Stefanie Lee Finley
- Kathleen Rose Foley
- Deborah Cofield Forrest
- Angela Fox
- Free Range Psychiatry Inc
All providers in Luray, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.