NPIMap

Organization Active NPI

Central Virginia Counseling PLLC

  • Community/Behavioral Health Agency
  • Lynchburg, VA
National Provider Identifier
1346786852
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701005872 Issued in VA
Legal business name
CENTRAL VIRGINIA COUNSELING PLLC
Practice address
808 Wiggington Rd Ste D
Lynchburg, VA 24502-5155
Phone
(434) 473-2291
Fax
(540) 765-3369
NPI assigned
Jan 9, 2017
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Ms. Grace Ellen Petty, M.A., L.P.C.NPI 1427318369
Title
Counselor
Phone
(434) 473-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0701005872 VA Primary

Addresses

Primary practice location

808 Wiggington Rd Ste D
Lynchburg, VA 24502-5155

Mailing address

808 Wiggington Rd Ste D
Lynchburg, VA 24502-5155
Phone (434) 473-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923000076 VA Part B Supplier - Clinic/Group Practice 8022493220 Receives reassigned benefits from 13 practitioners
Practice locations: Lynchburg, VA

National Provider Directory

National Provider Directory

Locations

20564 Timberlake Rd
Ste D
Lynchburg, VA 24502
Phone (434) 616-4980

808 Wiggington Rd
Ste D
Lynchburg, VA 24502
Phone (434) 616-4980

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1346786852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 WIGGINGTON RD STE D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025155",
            "telephone_number": "434-473-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WIGGINGTON RD STE D",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245025155",
            "telephone_number": "434-473-2291",
            "fax_number": "540-765-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "434-473-2291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701005872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.