Individual provider Active NPI

Megan C Inderbitzen

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1669201695
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704014746 Issued in VA
Practice address
4000 Olympia Cir Ste 101
Charlottesville, VA 22911-3614
Phone
(434) 202-4080
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704014746 VA Primary

Addresses

Primary practice location

4000 Olympia Cir Ste 101
Charlottesville, VA 22911-3614

Mailing address

3173 Horizon Rd
Charlottesville, VA 22902-6605
Phone (724) 605-5384

Other practice location 1

101 Ashley Street
Louisa, VA 23093
Phone (540) 967-2880

Other practice location 2

141 Ednam Dr # 104
Charlottesville, VA 22903-4629
Phone (434) 202-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704014746VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Region Ten Community Community Services Board Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

800 Preston Ave
Charlottesvle, VA 22903
Phone (434) 227-5624

500 Old Lynchburg Rd
Charlottesvle, VA 22903
Phone (434) 972-1800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1669201695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 HORIZON RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026605",
            "telephone_number": "724-605-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLYMPIA CIR STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113614",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Ashley Street",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "VA",
            "postal_code": "23093",
            "country_code": "US",
            "telephone_number": "540-967-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Ednam Dr # 104",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229034629",
            "country_code": "US",
            "telephone_number": "434-202-4080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INDERBITZEN",
        "first_name": "MEGAN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704014746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.