Active NPI
Lanette Regina Givens, MS
- Addiction (Substance Use Disorder) Counselor
- Fredericksburg, VA
National Provider Identifier
1447936687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710103711
- Practice address
- 240
Executive Center Parkway
Fredericksburg, VA 22401 - Phone
- (180) 473-2569
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0733007019 | VA | |
| Mental Health Counselor | 101YM0800X | 0732005003 | VA | |
| Art Therapist | 221700000X | PGP-0687265 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710103711 | VA | Primary |
Addresses
Primary practice location
240
Executive Center Parkway
Fredericksburg, VA 22401
Mailing address
6121 Hot Spring Lane
Fredericksburg, VA 22407
Phone (804) 732-5698
Other names 1
- Miss Lanette Regina Givens
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0733007019 | VA | MD | Counselor |
| 0710103711 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0732005003 | VA | MD | Mental Health Counselor |
| PGP-0687265 | VA | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1447936687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 HOT SPRING LANE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22407",
"telephone_number": "804-732-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240",
"address_2": "EXECUTIVE CENTER PARKWAY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22401",
"telephone_number": "180-473-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIVENS",
"first_name": "LANETTE",
"middle_name": "REGINA",
"name_prefix": "Miss",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0733007019",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0732005003",
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "VA",
"license": "PGP-0687265",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710103711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANETTE",
"last_name": "GIVENS",
"middle_name": "REGINA",
"prefix": "MISS",
"credential": "MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.