Individual provider Active NPI

Aisha Nicole Williams-Cusano, LPC

  • Professional Counselor
  • Palmyra, VA
National Provider Identifier
1316235294
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005054 Issued in VA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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 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 Other name

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

LicenseStateTypeSpecialty
0701005054VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Region Ten Community Community Services Board CurrentSince Dec 18, 2022 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.

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.

Verify at the official NPI Registry.