Active NPI
Lynn E McBride, LPC, LMFT,CSAC
- Professional Counselor
- Lynchburg, VA
National Provider Identifier
1619068905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002425
- Practice address
- 320 Federal St
Lynchburg, VA 24504-2306 - Phone
- (434) 947-5967
- Fax
- (434) 947-5971
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710000995 | VA | |
| Professional Counselor | 101YP2500X | 0701002425 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000590 | VA |
Addresses
Primary practice location
320 Federal St
Lynchburg, VA 24504-2306
Mailing address
134 Elon Rd
Madison Heights, VA 24572-2536
Phone (434) 455-2480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945441 | Medicaid | VA | |
| 331950 | Other | VA | ANTHEM BLUE SHIELD |
| O88267 | Other | VA | SENTARA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0710000995 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701002425 | VA | MD | Professional Counselor |
| 0717000590 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1619068905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ELON RD",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "245722536",
"telephone_number": "434-455-2480",
"fax_number": "434-455-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 FEDERAL ST",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245042306",
"telephone_number": "434-947-5967",
"fax_number": "434-947-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "LYNN",
"middle_name": "E",
"credential": "LPC, LMFT,CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710000995",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002425",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000590",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945441",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "331950",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "O88267",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.