Virginia Puckett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008791 Issued in VA

Practice address

401 W Main St
Radford, VA 24141-1588

Phone

(540) 838-8000

Fax

(540) 904-0051

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New River Valley Community Services

  dba NRVCS Primary Care

  • Family Medicine Physician
  • Blacksburg, VA
  • NPI 1922633544
  NPD (past)
• New River Valley Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blacksburg, VA
  • NPI 1942304126
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1346886975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241411588",
            "telephone_number": "540-838-8000",
            "fax_number": "540-904-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "243015009",
            "country_code": "US",
            "telephone_number": "540-994-5023",
            "fax_number": "540-994-5028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 University City Blvd",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240602706",
            "country_code": "US",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "VIRGINIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Powers
• Mindy Rene Prescott, NP
• Professional Rehab Associates, Inc
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Radford)
• Psychological Works, LLC
• Pyramid Healthcare, Inc.
• Quest Diagnostics Clinical Laboratories Inc
• Sarah Blair Rabe, ED.D., LAT, ATC
• Radford Chiropractic Clinic LLC
• Radford City Schools

• Professional Counselor in Radford, VA
• Providers in Radford, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.