McIntosh Life Coach

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MCINTOSH LIFE COACH

Practice address

610 Peppers Fry Rd NW Ste E
Christiansburg, VA 24073-5703

Phone

(814) 572-4708

NPI assigned

Aug 25, 2019

Organization subpart

Yes

Parent organization

MCINTOSH LIFE COACHAs reported in NPPES

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

Authorized official

Name

Mary McIntosh, DSW, LCSW, BCBANPI 1215112586

Title

Owner

Phone

(540) 449-6240

Specialties & licenses 1

Addresses

Other names 2

• Community Counseling Doing business as
• McIntosh LifeCoach Doing business as

Electronic endpoints 1

Part of

McIntosh Life Coach

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary McIntosh, LCSW, BCBA

  • Clinical Social Worker
  • Christiansburg, VA
  • NPI 1215112586
  NPD Authorized official

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1447807342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 JUNIPER DR",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240735891",
            "telephone_number": "540-449-6240",
            "fax_number": "540-859-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PEPPERS FRY RD NW STE E",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240735703",
            "telephone_number": "814-572-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTOSH LIFE COACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCINTOSH LIFE COACH",
        "enumeration_date": "2019-08-25",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-449-6240",
        "authorized_official_credential": "DSW, LCSW, BCBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jituzu",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR HIPAA compliant",
            "address_1": "610 Peppers Fry Rd NW Ste E",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240735703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McIntosh LifeCoach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McIntosh LifeCoach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter J McDonald, DDS
• Jessie Meryl McGlothlin
• Angela Marie McGoldrick, LPC
• Kerry Nan McGrath, FNP-BC
• Pamela A McHose, COTA
• Mary McIntosh, LCSW, BCBA
• Amber McKinney, PT
• Molly Laurana Marie McNally, OD
• Sandra Bernice Meadows
• Med-Trans Corporation

• Clinical Social Worker in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.