Individual provider Active NPI

Annette Stanley, MA LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1235597915
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17015 Issued in AZ
Practice address
113 Tradewynd Dr Ste B
Lynchburg, VA 24502-3112
Phone
(602) 633-4032
NPI assigned
Feb 9, 2016
Reactivated
Mar 6, 2018
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-17015 AZ Primary
Professional Counselor 101YP2500X 0701014247 VA

Addresses

Primary practice location

113 Tradewynd Dr Ste B
Lynchburg, VA 24502-3112

Mailing address

PO Box 12404
Glendale, AZ 85318-2404
Phone (602) 633-4032

Other practice location 1

PO Box 12404
Glendale, AZ 85318-2404
Phone (602) 633-4032

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-17015AZMDProfessional Counselor
0701014247VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling Center, LLC Professional CurrentSince Nov 9, 2025 Accepting new patients

Locations

113 Tradewynd Dr
#B
Lynchburg, VA 24502
Phone (540) 676-5617

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1235597915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12404",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853182404",
            "telephone_number": "602-633-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 TRADEWYND DR STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023112",
            "telephone_number": "602-633-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 12404",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853182404",
            "country_code": "US",
            "telephone_number": "602-633-4032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "ANNETTE",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "deactivation_date": "2017-12-19",
        "reactivation_date": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17015",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014247",
            "primary": false
        }
    ],
    "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 Nov 7, 2025; 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.