Virginia Renee Anderson, L.P.C.C., N.C.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

103324 Issued in KY

Practice address

2901 Pigeon Roost Rd
Rush, KY 41168-8132

Phone

(606) 928-6648

Fax

(606) 928-1056

NPI assigned

Jun 26, 2013

Last updated

May 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1629418413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017423",
            "country_code": "US",
            "telephone_number": "606-547-4400",
            "fax_number": "606-547-4180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 S Carol Malone Blvd",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "KY",
            "postal_code": "411431355",
            "country_code": "US",
            "telephone_number": "606-713-0379",
            "fax_number": "606-547-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Town Center Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410172416",
            "country_code": "US",
            "telephone_number": "859-360-6120",
            "fax_number": "606-547-4253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VIRGINIA",
        "middle_name": "RENEE",
        "credential": "L.P.C.C., N.C.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "103324",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "1156",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "103324",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1156",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1156",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Ralena Bonyak, LCSW
• Jessica Marie Collins, M.ED., LPCC
• Lakeisha Dennis, LPCC
• Danielle Nicole Gibbs, LPCC
• Misty Morrison Griswold, LPCC

• Professional Counselor in Rush, KY
• Providers in Rush, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.