Individual provider Active NPI

Jonci Owen Berneche, LPC

  • Professional Counselor
  • Clarksville, VA
National Provider Identifier
1295053452
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004835 Issued in VA
Practice address
110 College St
Clarksville, VA 23927-9122
Phone
(434) 374-3222
Fax
(434) 374-3223
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004835 VA Primary

Addresses

Primary practice location

110 College St
Clarksville, VA 23927-9122

Mailing address

PO Box 405
Clarksville, VA 23927-0405
Phone (434) 374-3222

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
I20240918001531 VA Practitioner - Mental Health Counselor 9739620766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Henry Family Services OperationsGroup PAC ID 6103231444, 8 clinicians

Practice addresses (Care Compare)

1621 Enterprise Dr
Lynchburg, VA 24502-5797
Phone (434) 376-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004835VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Henry Family Services Operations CurrentSince May 13, 2024 Accepting new patients
Patrick Henry Boys and Girls Plantation, Inc Professional CurrentSince May 13, 2024 Accepting new patients
Clarksville Counseling Center, PLC Past Accepting new patients

Locations

1621 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 239-4949

554 N Main St
South Boston, VA 24592
Phone (804) 833-6320

Organizations & group practices 3

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1295053452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239270405",
            "telephone_number": "434-374-3222",
            "fax_number": "434-374-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239279122",
            "telephone_number": "434-374-3222",
            "fax_number": "434-374-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNECHE",
        "first_name": "JONCI",
        "middle_name": "OWEN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, VA

Sources for this page

Verify at the official NPI Registry.