Organization Active NPI

L R Minor LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fredericksburg, VA
National Provider Identifier
1508010232
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0904002023 Issued in VA
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

Updated by the provider on Nov 2, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
291952OtherVABLUE CROSS BLUE SHIELD
80000284OtherVAMEDICARE ID-TYPE UNSPECIFIED
089122OtherVASENTARA-VETRI
512334OtherVANCPPO
461682000OtherVAMIS
89-1497-4MedicaidVA
152672OtherVAMHN
4763-0001OtherVACARE FIRST BCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.