Individual provider Active NPI

Mark Denoble, LPC

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1487049839
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701006114 Issued in VA
Practice address
1928 Arlington Blvd Ste 207
Charlottesville, VA 22903-1561
Phone
(434) 906-7383
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701006114 VA Primary

Addresses

Primary practice location

1928 Arlington Blvd Ste 207
Charlottesville, VA 22903-1561

Mailing address

1928 Arlington Blvd Ste 207
Charlottesville, VA 22903-1561
Phone (434) 906-7383

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

LicenseStateTypeSpecialty
0701006114VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1487049839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ARLINGTON BLVD STE 207",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031561",
            "telephone_number": "434-906-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ARLINGTON BLVD STE 207",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229031561",
            "telephone_number": "434-906-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOBLE",
        "first_name": "MARK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.