Organization Active NPI

Advantage Counseling Services LLC

  • Adult Mental Health Clinic/Center
  • Fishersville, VA
National Provider Identifier
1386418358
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ADVANTAGE COUNSELING SERVICES LLC
Practice address
71 Wilson Blvd
Suite A01
Fishersville, VA 22939
Phone
(540) 836-3659
Fax
(434) 465-6950
NPI assigned
Nov 10, 2023
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Mary Powell, LPC, MFTL, LSATPNPI 1114469988
Title
Owner/ Provider
Phone
(540) 836-3659

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

71 Wilson Blvd
Suite A01
Fishersville, VA 22939

Mailing address

1233 Frederick St
Waynesboro, VA 22980-5507
Phone (540) 836-3659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506000517 VA Part B Supplier - Clinic/Group Practice 5991145179 Receives reassigned benefits from 1 practitioner
Practice locations: Fishersville, VA

National Provider Directory

National Provider Directory

Locations

71 Wilson Blvd
Ste A1
Fishersville, VA 22939
Phone (540) 886-5060

71 Wilson Blvd
Ste C
Fishersville, VA 22939
Phone (540) 836-3659

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1386418358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 FREDERICK ST",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229805507",
            "telephone_number": "540-836-3659",
            "fax_number": "434-465-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WILSON BLVD",
            "address_2": "SUITE A01",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-836-3659",
            "fax_number": "434-465-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "540-836-3659",
        "authorized_official_credential": "LPC, MFTL, LSATP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.