Organization Active NPI

Shenandoah Counseling Associates, P. C.

  • Professional Counselor
  • Staunton, VA
National Provider Identifier
1477689628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701000332 Issued in VA
Legal business name
SHENANDOAH COUNSELING ASSOCIATES, P. C.
Practice address
1048 W Beverley St
Staunton, VA 24401-3110
Phone
(540) 886-5200
Fax
(540) 886-2864
NPI assigned
Feb 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Macdonald Kirby, L.P.C.
Title
Director-President
Phone
(540) 886-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701000332 VA Primary

Addresses

Primary practice location

1048 W Beverley St
Staunton, VA 24401-3110

Mailing address

1048 W Beverley St
Staunton, VA 24401-3110
Phone (540) 886-5200

Other identifiers 3

IdentifierTypeStateIssuer
076504OtherANTHEM BC & BS
2022072OtherCIGNA
085322OtherSENTARA

National Provider Directory

National Provider Directory

Locations

1048 W Beverley St
Staunton, VA 24401
Phone (540) 886-5200

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477689628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 W BEVERLEY ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013110",
            "telephone_number": "540-886-5200",
            "fax_number": "540-886-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 W BEVERLEY ST",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244013110",
            "telephone_number": "540-886-5200",
            "fax_number": "540-886-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH COUNSELING ASSOCIATES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MACDONALD",
        "authorized_official_title_or_position": "DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "540-886-5200",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701000332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "076504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2022072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "085322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.