Angela Dawn Cheatham Petry, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701007826 Issued in VA

Practice address

1909 Huguenot Rd Ste 301
North Chesterfield, VA 23235-4314

Phone

(804) 350-7952

Fax

(866) 330-1467

NPI assigned

Sep 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1518440486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 GUM FORK RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231121420",
            "telephone_number": "804-502-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HUGUENOT RD STE 301",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354314",
            "telephone_number": "804-350-7952",
            "fax_number": "866-330-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "ANGELA",
        "middle_name": "DAWN CHEATHAM",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Peters
• Dawn Louise Peterson-Lewis, LPC
• Tamera Peterson
• Christodoulos M Petras, M.D.
• Laura Petrozza, PHARMD, RPH
• Jeannette Pfeffer, PT,DPT
• Brian Phelps, M.ED., BCBA, LBA
• Nichole Aura Phillips, LPC
• Physical Rehabilitation LLC
• Physical Therapy Specialists of Virginia LLC

• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.