Active NPI
Piedmont Professional Counseling
- Professional Counselor
- Gainesville, VA
National Provider Identifier
1477066017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003055
- Legal business name
- PIEDMONT PROFESSIONAL COUNSELING
- Practice address
- 8751 Buckland Mill Rd
Gainesville, VA 20155-2015 - Phone
- (540) 272-6431
- NPI assigned
- Nov 6, 2017
- Last updated
- Nov 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Corbett Blackwell
- Title
- Owner
- Phone
- (540) 272-6431
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003055 | VA | Primary |
Addresses
Primary practice location
8751 Buckland Mill Rd
Gainesville, VA 20155-2015
Mailing address
8751 Buckland Mill Rd
Gainesville, VA 20155-2015
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Gainesville, VA
- NPI 1235153263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509926400000",
"number": "1477066017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8751 BUCKLAND MILL RD",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201552015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8751 BUCKLAND MILL RD",
"city": "GAINESVILLE",
"state": "VA",
"postal_code": "201552015",
"telephone_number": "540-272-6431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT PROFESSIONAL COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-06",
"last_updated": "2017-11-06",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "CORBETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-272-6431"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, VA
- David Randell Phelps, APRN
- Phoenix Counselinggroup and Play Therapycenter, PLLC
- Phoenix Family Counseling & Play Therapy Center, PLLC
- Faline Phucas Davenport
- Michael R Pichardo, DDS
- Cecille M Pineda, PHARMD
- Jean Marie Pitt, CNA
- Mariano Andres Polack, DDS, MS
- Potomac Behavioral Health LLC
- Anne Powell, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.