Active NPI
Aisha Nicole Williams-Cusano, LPC
- Professional Counselor
- Palmyra, VA
National Provider Identifier
1316235294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005054
- Practice address
- 13623 James Madison Hwy
Palmyra, VA 22963-4300 - Phone
- (434) 589-8276
- Fax
- (434) 589-2690
- NPI assigned
- Jul 13, 2011
- Last updated
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 0701005054 | VA | Primary |
Addresses
Primary practice location
13623 James Madison Hwy
Palmyra, VA 22963-4300
Mailing address
PO Box 184
Palmyra, VA 22963-0184
Phone (434) 589-8276
Other names 1
- Aisha Nicole Williams
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 |
|---|---|---|---|
| 0701005054 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Ten Community Community Services Board | Current | Accepting new patients |
Locations
500 Old Lynchburg Rd
Charlottesvle, VA 22903
Phone (434) 972-1800
71 Tanbark Plz
Lovingston, VA 22949
Phone (434) 263-4000
13623 James Madison Hwy
Palmyra, VA 22963
Phone (434) 589-8276
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Charlottesville, VA
- NPI 1942270699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1316235294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 184",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229630184",
"telephone_number": "434-589-8276",
"fax_number": "434-589-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13623 JAMES MADISON HWY",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229634300",
"telephone_number": "434-589-8276",
"fax_number": "434-589-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-CUSANO",
"first_name": "AISHA",
"middle_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AISHA",
"last_name": "WILLIAMS",
"middle_name": "NICOLE",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Palmyra, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.