Individual provider Active NPI

Camilla Wilson McCoy

  • Professional Counselor
  • Danville, VA
National Provider Identifier
1437495645
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12692 Issued in NC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20240712000816 VA Practitioner - Mental Health Counselor 6507287299 Reassigns benefits to 1 organization

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
Family of Hands LLCGroup PAC ID 9335684554, 5 clinicians

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

LicenseStateTypeSpecialty
0701005374VAMDMental Health Counselor
6401224612MIMDProfessional Counselor
12692NCMDProfessional Counselor
LH61566999WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family of Hands, LLC Professional CurrentSince Feb 3, 2020 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.

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

Verify at the official NPI Registry.