Active NPI
Amber Jean Eversole, L.P.C.
- Professional Counselor
- Christiansburg, VA
National Provider Identifier
1255737987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005730
- Practice address
- 1200 Elm St Ste a
Christiansburg, VA 24073-1592 - Phone
- (704) 438-7394
- NPI assigned
- Nov 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005730 | VA | Primary |
Addresses
Primary practice location
1200 Elm St Ste a
Christiansburg, VA 24073-1592
Mailing address
5506 Whittier LN
Blacksburg, VA 24060-0988
Phone (704) 438-7394
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 |
|---|---|---|---|
| 0701005730 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1255737987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5506 WHITTIER LN",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240600988",
"telephone_number": "704-438-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ELM ST STE A",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240731592",
"telephone_number": "704-438-7394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSOLE",
"first_name": "AMBER",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Christiansburg, VA
- Brandy Lorraine Edwards, MD
- Amaechi Egbujuo, APRN, PMHNP-BC
- Ellis Home Oxygen and Medical Equipment
- Sherry Franklin Eubank, NP
- Tracy Eubank
- Eye Care Christiansburg Inc
- Conard F Failinger, M. D.
- Jessica Lynne Fairley, PHARM.D
- Family Dental Clinic of the New River Valley, Inc.
- Family Hearing Care Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.