Active NPI
Jenny Waldron
- Mental Health Counselor
- Roanoke, VA
National Provider Identifier
1376439182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2302 Colonial Ave SW Ste F
Roanoke, VA 24015-3100 - Phone
- (540) 556-9706
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2302 Colonial Ave SW Ste F
Roanoke, VA 24015-3100
Mailing address
534 Pennsylvania Ave
Salem, VA 24153-5307
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1376439182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 PENNSYLVANIA AVE",
"city": "SALEM",
"state": "VA",
"postal_code": "241535307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 COLONIAL AVE SW STE F",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240153100",
"telephone_number": "540-556-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "JENNY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
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- Wal-Mart Stores East, LP (Vision Center 30-3243)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Walgreen Co (Walgreens #05216)
- Walgreen Co (Walgreens #05217)
- Walgreen Co. (Walgreens #07605)
- Alison Byrd Walker, FNP
- David Franklin Walker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.