Organization Active NPI

Susan a. Ponton Therapist Inc

  • Community/Behavioral Health Agency
  • South Hill, VA
National Provider Identifier
1386805463
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0701003560 Issued in VA
Legal business name
SUSAN A. PONTON THERAPIST INC
Practice address
501 N Mecklenburg Ave
South Hill, VA 23970-2024
Phone
(434) 447-7447
Fax
(434) 447-3057
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mrs. Susan Allen Ponton, LPCNPI 1588672893
Title
License Professional Counselor
Phone
(434) 447-7447

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
Community/Behavioral Health Agency 251S00000X 0701003560 VA Primary

Addresses

Primary practice location

501 N Mecklenburg Ave
South Hill, VA 23970-2024

Mailing address

PO Box 809
South Hill, VA 23970-0809
Phone (434) 447-7447

Other identifiers 1

IdentifierTypeStateIssuer
010030692MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425000547 VA Part B Supplier - Clinic/Group Practice 7810413523 Receives reassigned benefits from 2 practitioners
Practice locations: South Hill, VA

National Provider Directory

National Provider Directory

Locations

501 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-7447

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1386805463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700809",
            "telephone_number": "434-447-7447",
            "fax_number": "434-447-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702024",
            "telephone_number": "434-447-7447",
            "fax_number": "434-447-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A. PONTON THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PONTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "434-447-7447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0701003560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010030692",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.