Grace E Petty, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005872 Issued in VA

Practice address

3410 Old Forest Rd
Lynchburg, VA 24501-2915

Phone

(434) 455-1000

Fax

(434) 485-8877

NPI assigned

May 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Counseling PLLCGroup PAC ID 8022493220, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Virginia Counseling PLLC

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1346786852
  Medicare reassignment Care Compare group NPD Authorized official
• Horizon Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Lynchburg, VA
  • NPI 1508941105
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1427318369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-455-1000",
            "fax_number": "434-485-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012915",
            "telephone_number": "434-455-1000",
            "fax_number": "434-485-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "GRACE",
        "middle_name": "E",
        "credential": "MA   LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64798",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Petrikonis, NP
• Craig John Petry, M.D.
• Augustus Allen Petticolas Jr., D.D.S.
• Lerla Pettiford, LPC
• Raena M. Pettitt, D.O.
• Nori Petty
• Brooke B Pettyjohn, PT, DPT
• Truong Dinh Pham, PHARMD
• David A Phemister, M.D.
• Frances Lee Phetteplace, MS, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.