Organization Active NPI

C'Ville Counseling & Outpatient Therapy

  • Counselor
  • Charlottesville, VA
National Provider Identifier
1528516549
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701005612 Issued in VA
Legal business name
C'VILLE COUNSELING & OUTPATIENT THERAPY
Practice address
175 S Pantops Dr
Room 101
Charlottesville, VA 22911-8610
Phone
(276) 870-7757
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Mrs. Lisa Rene Manners, LPC
Title
Ceo
Phone
(276) 870-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 0701005612 VA Primary

Addresses

Primary practice location

175 S Pantops Dr
Room 101
Charlottesville, VA 22911-8610

Mailing address

5 Longwood PL
Palmyra, VA 22963-2850
Phone (434) 207-3615

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1528516549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LONGWOOD PL",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632850",
            "telephone_number": "434-207-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR",
            "address_2": "ROOM 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118610",
            "telephone_number": "276-870-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C'VILLE COUNSELING & OUTPATIENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MANNERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-870-7757",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701005612",
            "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 Sep 27, 2016; 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.