Individual provider Active NPI

Constance N Fletcher, PH.D.

  • Clinical Psychologist
  • Danville, VA
National Provider Identifier
1275520231
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001100 Issued in VA
Practice address
108 Holbrook St
Suite 203
Danville, VA 24541-1758
Phone
(434) 791-2059
Fax
(434) 791-2835
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001100 VA Primary

Addresses

Primary practice location

108 Holbrook St
Suite 203
Danville, VA 24541-1758

Mailing address

1045 Main St Ste 5
Counseling and Psychological Services, LLC
Danville, VA 24541-1800
Phone (434) 792-2277

Other identifiers 1

IdentifierTypeStateIssuer
00753896MedicaidVA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101112001123 VA Practitioner - Clinical Psychologist 1557556735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling and Psychological Services,LLCGroup PAC ID 3870751126, 6 clinicians

Practice addresses (Care Compare)

1045 Main St
Suite 5
Danville, VA 24541-1800
Phone (434) 792-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Psychological Services,LLC CurrentSince Jan 15, 2012 Accepting new patients

Locations

1045 Main St
Ste 5
Danville, VA 24541
Phone (434) 792-2277

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1275520231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 MAIN ST STE 5",
            "address_2": "COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411800",
            "telephone_number": "434-792-2277",
            "fax_number": "434-792-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HOLBROOK ST",
            "address_2": "SUITE 203",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411758",
            "telephone_number": "434-791-2059",
            "fax_number": "434-791-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "CONSTANCE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00753896",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.