Piedmont Professional Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701003055 Issued in VA

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

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": []
}

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• Professional Counselor in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Professional Counselor in Virginia

• 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.

Verify at the official NPI Registry.