Individual provider Active NPI

Gary T Rafala, LPC

  • Professional Counselor
  • Culpeper, VA
National Provider Identifier
1417004565
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002217 Issued in VA
Practice address
700 Southridge Parkway
Suite 301B
Culpeper, VA 22701
Phone
(540) 829-0036
Fax
(540) 829-6452
NPI assigned
Jan 4, 2007
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 49857 VA
Professional Counselor 101YP2500X 0701002217 VA Primary
Marriage & Family Therapist 106H00000X 0717000260 VA

Addresses

Primary practice location

700 Southridge Parkway
Suite 301B
Culpeper, VA 22701

Mailing address

700 Southridge Parkway
Suite 301B
Culpeper, VA 22701
Phone (540) 829-0036

Other identifiers 2

IdentifierTypeStateIssuer
333253OtherVAANTHEM
0701002217OtherVAVA LPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
49857VAMDCounselor
0701002217VAMDProfessional Counselor
0717000260VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rafala Professional Counseling Services LLC Professional Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1417004565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SOUTHRIDGE PARKWAY",
            "address_2": "SUITE 301B",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "22701",
            "telephone_number": "540-829-0036",
            "fax_number": "540-829-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTHRIDGE PARKWAY",
            "address_2": "SUITE 301B",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "22701",
            "telephone_number": "540-829-0036",
            "fax_number": "540-829-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFALA",
        "first_name": "GARY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "49857",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002217",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000260",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "333253",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LPC",
            "identifier": "0701002217",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.