Active NPI
Megan C Inderbitzen
- Mental Health Counselor
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704014746
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704014746 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region Ten Community Community Services Board | Mental Health | Current | 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.
-
- Community/Behavioral Health Agency
- Charlottesville, VA
- NPI 1942270699
Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.