Individual provider Active NPI

Julia Fields Canada, LPC

  • Mental Health Counselor
  • North Chesterfield, VA
National Provider Identifier
1396282893
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006811 Issued in VA
Practice address
101 Buford Rd Suite 110
North Chesterfield, VA 23235
Phone
(804) 447-6382
Fax
(804) 447-6383
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701006811 VA Primary

Addresses

Primary practice location

101 Buford Rd Suite 110
North Chesterfield, VA 23235

Mailing address

101 Buford Rd Suite 110
North Chesterfield, VA 23235
Phone (804) 447-6382

Other names 1

  • Julia Fields Blankenship Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002175 VA Practitioner - Mental Health Counselor 1355784554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
George Washington University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoe Therapy Services, LLCGroup PAC ID 2769603901, 31 clinicians

Practice addresses (Care Compare)

4191 Innslake Dr
Suite 211
Glen Allen, VA 23060-3324
Phone 8043039622104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Therapy Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Zoestyle Medicine CurrentSince Jan 1, 2024 Accepting new patients
Lighthouse Behavioral Health Center, LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

4191 Innslake Dr
Glen Allen, VA 23060

4191 Innslake Dr
Ste 211
Glen Allen, VA 23060
Phone (804) 303-9622

101 Buford Rd
Ste 110
North Chesterfield, VA 23235
Phone (804) 447-6382

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396282893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BUFORD RD SUITE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-447-6382",
            "fax_number": "804-447-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BUFORD RD SUITE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-447-6382",
            "fax_number": "804-447-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADA",
        "first_name": "JULIA",
        "middle_name": "FIELDS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "BLANKENSHIP",
            "middle_name": "FIELDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.