Casey Ferguson LPC Inc – Professional Counselor

Key facts

NPI: 1619785953
Entity type: Organization (NPI type 2)
Primary specialty: Professional Counselor 101YP2500X
Legal business name: CASEY FERGUSON LPC INC
Practice address: 6580 Valley Center Dr Ste 169
Radford, VA 24141-5694
Phone: (540) 505-2986
Fax: (540) 380-0079
NPI assigned: Dec 19, 2024
Organization subpart: No

Authorized official

Name: Casey Elizabeth Ferguson NPI 1518118918
Title: Owner
Phone: (540) 505-2986

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Casey Elizabeth Ferguson, LPC Mental Health Counselor · Fairlawn, VA · NPI 1518118918

Medicare reassignment NPD Authorized official COUNSELOR · VA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20250210001684	VA	Part B Supplier - Clinic/Group Practice	1052841889	Receives reassigned benefits from 1 practitioner Practice locations: Fairlawn, VA

National Provider Directory

Locations

6580 Valley Center Dr
Ste 169
Radford, VA 24141
Phone (540) 505-2986

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101Y00000X
Professional Counselor Group: 193200000X MULTI-SPECIALTY GROUP	101YP2500X			Yes

Addresses

Primary practice location

6580 Valley Center Dr Ste 169
Radford, VA 24141-5694

Mailing address

6580 Valley Center Dr Ste 169
Radford, VA 24141-5694
Phone (540) 505-2986

Other providers in Radford, VA

All providers in Radford, VA · Professional Counselor in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.