Twin County Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TWIN COUNTY COUNSELING SERVICES, LLC

Practice address

487 Stone Brook Dr
Galax, VA 24333-6227

Phone

(276) 233-3763

Fax

(276) 236-8880

NPI assigned

Oct 19, 2018

Organization subpart

No

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

Authorized official

Name

Angelique Jeanine Slate, LPC

Title

Owner

Phone

(276) 233-8451

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19488/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Angelique Jeanine Lam Slate, L.P.C.

  • Professional Counselor
  • Galax, VA
  • NPI 1134502750
  Medicare reassignment NPD

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1457827131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 STONE BROOK DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243336227",
            "telephone_number": "276-233-3764",
            "fax_number": "276-236-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 STONE BROOK DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243336227",
            "telephone_number": "276-233-3763",
            "fax_number": "276-236-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN COUNTY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-233-8451",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601027524",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Tompkins
• John Tracy III, RN
• Tri Area Community Health
• Dorothy J. Truax
• Sherry McKenzie Truitt, LPTA
• Twin County Family Care Centers Inc
• Twin County Family Care Centers Inc
• Twin County Regional Healthcare, Inc
• Twin County Regional Healthcare, Inc
• Twin County Regional Healthcare, Inc

• Community/Behavioral Health Agency in Galax, VA
• Providers in Galax, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.