Individual provider Active NPI

Anthony Eugene Powell, L.P.C.

  • Professional Counselor
  • Bedford, VA
National Provider Identifier
1477729655
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004250 Issued in VA
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

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110000853 VA Practitioner - Mental Health Counselor 3274984620 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004250VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Behavioral Health CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.