Kenneth Adrian Deneault, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007852 Issued in VA

Practice address

17039 Oak St
Dillwyn, VA 23936-3019

Phone

(434) 808-0604

Fax

(434) 808-0716

NPI assigned

Dec 10, 2018

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Virginia Center for Family Relations, PCGroup PAC ID 3375647647, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Virginia Center for Family Relations, PC

  • Mental Health Counselor
  • Charlottesville, VA
  • NPI 1447341805
  Medicare reassignment Care Compare group NPD
• South Central Counseling Group

  • Clinical Social Worker
  • Dillwyn, VA
  • NPI 1619255601
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1235600784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1166",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239361166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17039 OAK ST",
            "city": "DILLWYN",
            "state": "VA",
            "postal_code": "239363019",
            "telephone_number": "434-808-0604",
            "fax_number": "434-808-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEAULT",
        "first_name": "KENNETH",
        "middle_name": "ADRIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Dillwyn, VA
• Providers in Dillwyn, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.