Active NPI
Alyson Bently Whitaker, LCSW
- Mental Health Counselor
- Pulaski, VA
National Provider Identifier
1306423926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904008244
- Practice address
- 5276 Westvale Ave
Pulaski, VA 24301-7107 - Phone
- (540) 210-0979
- Fax
- (540) 779-8009
- NPI assigned
- Mar 28, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904008244 | VA | Primary |
Addresses
Primary practice location
5276 Westvale Ave
Pulaski, VA 24301-7107
Mailing address
5276 Westvale Ave
Pulaski, VA 24301-7107
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 |
|---|---|---|---|
| 0904008244 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1306423926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5276 WESTVALE AVE",
"city": "PULASKI",
"state": "VA",
"postal_code": "243017107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5276 WESTVALE AVE",
"city": "PULASKI",
"state": "VA",
"postal_code": "243017107",
"telephone_number": "540-210-0979",
"fax_number": "540-779-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "ALYSON",
"middle_name": "BENTLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-28",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904008244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.