The Excellence Edge Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701001673 Issued in VA

Legal business name

THE EXCELLENCE EDGE INC.

Practice address

3433 Brambleton Ave Ste 205B
Roanoke, VA 24018-6527

Phone

(540) 772-0730

Fax

(540) 772-4887

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lin Marlene Shaner, L.P.C.

Title

Licensed Professional Counselor

Phone

(540) 772-0730

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Linda Marlene Shaner, L.P.C.

  • Professional Counselor
  • Moneta, VA
  • NPI 1669627600
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1396990255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BRAMBLETON AVE STE 205B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186527",
            "telephone_number": "540-772-0730",
            "fax_number": "540-772-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BRAMBLETON AVE STE 205B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186527",
            "telephone_number": "540-772-0730",
            "fax_number": "540-772-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXCELLENCE EDGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "LIN",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "540-772-0730",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.