Active NPI
L R Minor LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fredericksburg, VA
National Provider Identifier
1508010232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 0904002023
- Legal business name
- L R MINOR LLC
- Practice address
- 910 Princess Anne St
Suite 109
Fredericksburg, VA 22401-5844 - Phone
- (540) 656-2106
- Fax
- (540) 656-2107
- NPI assigned
- Nov 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda R Minor, LCSW
- Title
- President
- Phone
- (540) 361-4330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0904002023 | VA | Primary |
Addresses
Primary practice location
910 Princess Anne St
Suite 109
Fredericksburg, VA 22401-5844
Mailing address
910 Princess Anne St
Suite 109
Fredericksburg, VA 22401-5844
Phone (540) 656-2106
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291952 | Other | VA | BLUE CROSS BLUE SHIELD |
| 80000284 | Other | VA | MEDICARE ID-TYPE UNSPECIFIED |
| 089122 | Other | VA | SENTARA-VETRI |
| 512334 | Other | VA | NCPPO |
| 461682000 | Other | VA | MIS |
| 89-1497-4 | Medicaid | VA | |
| 152672 | Other | VA | MHN |
| 4763-0001 | Other | VA | CARE FIRST BCBS |
National Provider Directory
National Provider DirectoryLocations
910 Princess Anne St
Ste 109
Fredericksburg, VA 22401
Phone (540) 656-2106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288656000000",
"number": "1508010232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 PRINCESS ANNE ST",
"address_2": "SUITE 109",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015844",
"telephone_number": "540-656-2106",
"fax_number": "540-656-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 PRINCESS ANNE ST",
"address_2": "SUITE 109",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224015844",
"telephone_number": "540-656-2106",
"fax_number": "540-656-2107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L R MINOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-07",
"last_updated": "2010-11-02",
"status": "A",
"authorized_official_last_name": "MINOR",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-361-4330",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "VA",
"license": "0904002023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "291952",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-TYPE UNSPECIFIED",
"identifier": "80000284",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA-VETRI",
"identifier": "089122",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "512334",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIS",
"identifier": "461682000",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-1497-4",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "152672",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BCBS",
"identifier": "4763-0001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.