NPIMap

Individual provider Active NPI

Wayne Gill Reed Jr., LPC

  • Mental Health Counselor
  • Franklin, VA
National Provider Identifier
1467510362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003254 Issued in VA
Practice address
100 Fairview Dr
Suite 200-B
Franklin, VA 23851-1238
Phone
(757) 569-0007
Fax
(757) 569-0011
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003254 VA Primary
Mental Health Counselor 101YM0800X 3450 NC

Addresses

Primary practice location

100 Fairview Dr
Suite 200-B
Franklin, VA 23851-1238

Mailing address

PO Box 633
Franklin, VA 23851-0633
Phone (757) 569-0007

Other identifiers 3

IdentifierTypeStateIssuer
261218OtherVACOMPSYCH
186337OtherVAANTHEM BCBS PPO AND HMO
548467OtherVAVALUE OPTIONS

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

State licenses

LicenseStateTypeSpecialty
0701003254VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southampton Behavioral Healthcare, LLC Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467510362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238510633",
            "telephone_number": "757-569-0007",
            "fax_number": "757-569-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAIRVIEW DR",
            "address_2": "SUITE 200-B",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511238",
            "telephone_number": "757-569-0007",
            "fax_number": "757-569-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "WAYNE",
        "middle_name": "GILL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003254",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "261218",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PPO AND HMO",
            "identifier": "186337",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "548467",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.