Sylvia Amy Funn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011077 Issued in VA

Practice address

4532 Fordham Rd
North Chesterfield, VA 23236-1122

Phone

(804) 382-1519

NPI assigned

Feb 3, 2022

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Professional

  Medicare reassignment NPD
• Resilience Counseling and Wellness Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Chesterfield, VA
  • NPI 1669123311
  NPD Authorized official

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1669125209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 FORDHAM RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361122",
            "telephone_number": "804-382-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 FORDHAM RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361122",
            "telephone_number": "804-382-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNN",
        "first_name": "SYLVIA",
        "middle_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Garces Fries, CRNA
• From Your Rd, LLC
• Gloria R Frye
• Taryn L Fullerton, OT
• Camille Funderburk
• Ryan T Gabriel, MD
• Gail Santarelli Dba Recovery Resources
• Tara Lauren Gallagher, LPC
• Suhein D Galloza Rivera, M.D.
• Amy Danise Garcia, AGACNP-BC

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.