Active NPI
Lavonne D McLendon, LPC
- Professional Counselor
- Petersburg, VA
National Provider Identifier
1447333653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 43 Rives Rd
Suite B
Petersburg, VA 23805-9255 - Phone
- (804) 728-2138
- Fax
- (804) 728-2138
- NPI assigned
- Oct 23, 2006
- Last updated
- Aug 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
43 Rives Rd
Suite B
Petersburg, VA 23805-9255
Mailing address
PO Box 1997
Petersburg, VA 23805-0997
Phone (804) 732-1527
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C08729 | Other | VA | MEDICARE GROUP NUMBER |
| 1477512416 | Other | VA | GROUP NPI NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Family Psychiatry PC | 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.
-
- Cognitive & Behavioral Psychologist
- Petersburg, VA
- NPI 1477512416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1447333653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1997",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238050997",
"telephone_number": "804-732-1527",
"fax_number": "804-732-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 RIVES RD",
"address_2": "SUITE B",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238059255",
"telephone_number": "804-728-2138",
"fax_number": "804-728-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENDON",
"first_name": "LAVONNE",
"middle_name": "D",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C08729",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1477512416",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.