Individual provider Active NPI

Siobhan Oguntimehin, LMFT

  • Marriage & Family Therapist
  • Lynchburg, VA
National Provider Identifier
1346871852
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001573 Issued in VA
Practice address
2215 Langhorne Rd
Lynchburg, VA 24501-1121
Phone
(434) 948-4831
Fax
(434) 948-4855
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001573 VA Primary

Addresses

Primary practice location

2215 Langhorne Rd
Lynchburg, VA 24501-1121

Mailing address

2241 Langhorne Rd
Lynchburg, VA 24501-1114
Phone (434) 847-8050

Other names 1

  • Miss Siobhan Catherine Dwyer Former 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
0717001573VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Feb 9, 2020 Accepting new patients

Locations

120 W Commerce St
Amherst, VA 24521
Phone (434) 847-8004

2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831

2241 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 455-3045

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1346871852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011114",
            "telephone_number": "434-847-8050",
            "fax_number": "434-847-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011121",
            "telephone_number": "434-948-4831",
            "fax_number": "434-948-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNTIMEHIN",
        "first_name": "SIOBHAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHAN",
            "last_name": "DWYER",
            "middle_name": "CATHERINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 3, 2020; 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.