Individual provider Active NPI

Rian Sledge, LPC

  • Professional Counselor
  • Farmville, VA
National Provider Identifier
1346729001
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007727 Issued in VA
Practice address
714 E Second St
Farmville, VA 23901-1602
Phone
(434) 414-3042
Fax
(434) 392-8999
NPI assigned
Aug 13, 2018
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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 0701007727 VA Primary

Addresses

Primary practice location

714 E Second St
Farmville, VA 23901-1602

Mailing address

3061 Lockett Rd
Rice, VA 23966-2355

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
I20240117002009 VA Practitioner - Mental Health Counselor 9537511316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Services BoardGroup PAC ID 4486649977, 20 clinicians

Practice addresses (Care Compare)

214 Bush River Dr
Farmville, VA 23901-3179
Phone (434) 392-3187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Services Board CurrentSince Jan 1, 2024 Accepting new patients
Vaught Christian Counseling PC Professional PastSince Jan 1, 2024 Accepting new patients

Locations

9101 Washington St
Amelia Court House, VA 23002
Phone (804) 561-5057

410 Thomas Jefferson Hwy
Charlotte Court House, VA 23923
Phone (434) 392-7049

Organizations & group practices 2

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1346729001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 LOCKETT RD",
            "city": "RICE",
            "state": "VA",
            "postal_code": "239662355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E SECOND ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011602",
            "telephone_number": "434-414-3042",
            "fax_number": "434-392-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "RIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.