Magnolia Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAGNOLIA COUNSELING SERVICES, LLC

Practice address

101 Duncraig Dr Unit 104
Lynchburg, VA 24502-5790

Phone

(434) 237-4305

Fax

(434) 237-4307

NPI assigned

Apr 12, 2020

Organization subpart

No

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

Authorized official

Name

Amy Spangler-Dunning, LPCNPI 1629338629

Title

Mental Health Therapist

Phone

(434) 237-4305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy R Spangler-Dunning, LPC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1629338629

  VA

  Medicare reassignment NPD Authorized official
• Steven Kenneth Nielsen, ED.D.

  • Clinical Psychologist
  • Lynchburg, VA
  • NPI 1508249608
  NPD (past)
• Susan M Wilson, LPC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1922100262
  NPD (past)

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586649600000",
    "number": "1336768159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUNCRAIG DR UNIT 104",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025790",
            "telephone_number": "434-237-4305",
            "fax_number": "434-237-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUNCRAIG DR UNIT 104",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025790",
            "telephone_number": "434-237-4305",
            "fax_number": "434-237-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A",
        "authorized_official_last_name": "SPANGLER-DUNNING",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "434-237-4305",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Madea, DO
• Loretta Maffei, M.D.
• Andrew Jacob Maggard, PHARMD
• Deborah Riva Magid, MD
• Mitchell J Magid, DMD
• Kirstin A Magnuson, LMFT
• Jennifer Mahan, PA-C
• Kyesha Mahan
• Maureen Mahland, MSPT
• Kevin Mahlman

• All providers in Lynchburg, VA
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.