Active NPI
Joyce E Samples, LPC
- Professional Counselor
- Wytheville, VA
National Provider Identifier
1477666014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001874
- Practice address
- 770 W Ridge Rd
Wytheville, VA 24382-1046 - Phone
- (276) 223-3200
- Fax
- (276) 223-0617
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001874 | VA | Primary |
Addresses
Primary practice location
770 W Ridge Rd
Wytheville, VA 24382-1046
Mailing address
770 W Ridge Rd
Wytheville, VA 24382-1046
Phone (276) 223-3200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288891 | Other | VA | ANTHEM BLUE CROSS |
| 288889 | Other | VA | ANTHEM BLUE CROSS |
| 288888 | Other | VA | ANTHEM BLUE CROSS |
| 271447 | Other | VI | VALUE OPTIONS |
| 288890 | Other | VA | ANTHEM BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001874 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477666014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821046",
"telephone_number": "276-223-3200",
"fax_number": "276-223-0617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821046",
"telephone_number": "276-223-3200",
"fax_number": "276-223-0617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLES",
"first_name": "JOYCE",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "288891",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "288889",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "288888",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "271447",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "288890",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wytheville, 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.