Integrated Self Counseling & Supervision, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTEGRATED SELF COUNSELING & SUPERVISION, PLLC

Practice address

1724 Trillium LN
Blacksburg, VA 24060-9096

Phone

(540) 797-1110

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Jayna Ratliff, LPC

Title

Ceo

Phone

(540) 797-1110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayna Madeleine Gillespie, LPC

  • Professional Counselor
  • Roanoke, VA
  • NPI 1235786997
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1386421832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 TRILLIUM LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609096",
            "telephone_number": "540-797-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 TRILLIUM LN",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240609096",
            "telephone_number": "540-797-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SELF COUNSELING & SUPERVISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-797-1110",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Hux, LAT, ATC
• Michael Chad Hyatt, ATC, EMT
• Ashleigh Iannelli, LPC
• Impact Family Dental PLLC
• Sara C Inman, LCSW
• Internal Medicine of Blacksburg LLC
• Sadia Iqbal, DO
• Carissa L Isbell, PHARM. D.
• Ischemic Injured Organs and Limbs Foundation
• Hannah Jacqueline Jackson, PTA

• Community/Behavioral Health Agency in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.