Active NPI
Anthony Eugene Powell, L.P.C.
- Professional Counselor
- Bedford, VA
National Provider Identifier
1477729655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004250
- Practice address
- 1409 Old Dominion Blvd
Bedford, VA 24523-3285 - Phone
- (540) 586-5429
- Fax
- (540) 586-1481
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701004250 | VA | |
| Professional Counselor | 101YP2500X | 0701004250 | VA | Primary |
Addresses
Primary practice location
1409 Old Dominion Blvd
Bedford, VA 24523-3285
Mailing address
1450 Smoketree Dr
Forest, VA 24551-4217
Phone (434) 258-9126
Other practice location 1
20276A Timberlake Rd
Lynchburg, VA 24502-7214
Phone (434) 319-5528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004250 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Behavioral Health | Current | Accepting new patients |
Locations
1409 Old Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429
2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000
620 Court St
Lynchburg, VA 24504
Phone (434) 455-3043
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.
-
- Community/Behavioral Health Agency
- Lynchburg, VA
- NPI 1871542340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1477729655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 SMOKETREE DR",
"city": "FOREST",
"state": "VA",
"postal_code": "245514217",
"telephone_number": "434-258-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 OLD DOMINION BLVD",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245233285",
"telephone_number": "540-586-5429",
"fax_number": "540-586-1481"
}
],
"practiceLocations": [
{
"address_1": "20276A Timberlake Rd",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245027214",
"country_code": "US",
"telephone_number": "434-319-5528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "ANTHONY",
"middle_name": "EUGENE",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701004250",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.