Active NPI
Camilla Wilson McCoy
- Professional Counselor
- Danville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12692
- Practice address
- 500 Piney Forest Road
Danville, VA 24540 - Phone
- (434) 272-8372
- Fax
- (434) 381-4316
- NPI assigned
- Dec 14, 2012
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701005374 | VA | |
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 6401224612 | MI | |
| Professional Counselor | 101YP2500X | 12692 | NC | Primary |
| Professional Counselor | 101YP2500X | LH61566999 | WA | |
| Professional Counselor | 101YP2500X | 0701005374 | VA |
Addresses
Primary practice location
500 Piney Forest Road
Danville, VA 24540
Mailing address
500 Piney Forest Road
Danville, VA 24540
Phone (434) 272-8372
Other practice location 1
709 River Ridge Rd
Danville, VA 24541-8303
Phone (434) 685-1620
Other names 1
- Camilla Marketa McCoy
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Vicar PL
Danville, VA 24540-1241
Phone (434) 272-8372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005374 | VA | MD | Mental Health Counselor |
| 6401224612 | MI | MD | Professional Counselor |
| 12692 | NC | MD | Professional Counselor |
| LH61566999 | WA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family of Hands, LLC | Professional | Current | Accepting new patients |
| Pai Participant 1 LLC | Past | Accepting new patients |
Locations
105 Vicar Pl
Danville, VA 24540
Phone (434) 272-8372
500 Piney Forest Rd
Danville, VA 24540
Phone (434) 272-8372
709 River Ridge Rd
Danville, VA 24541
Phone (434) 272-8372
Organizations & group practices 2
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.
-
- Professional Counselor
- Danville, VA
- NPI 1861042608
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1437495645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PINEY FOREST ROAD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24540",
"telephone_number": "434-272-8372",
"fax_number": "434-381-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PINEY FOREST ROAD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24540",
"telephone_number": "434-272-8372",
"fax_number": "434-381-4316"
}
],
"practiceLocations": [
{
"address_1": "709 River Ridge Rd",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "VA",
"postal_code": "245418303",
"country_code": "US",
"telephone_number": "434-685-1620",
"fax_number": "434-685-2508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "CAMILLA",
"middle_name": "WILSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701005374",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401224612",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "12692",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH61566999",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLA",
"last_name": "MCCOY",
"middle_name": "MARKETA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.