Individual provider Active NPI

Joy B Bagby

  • Mental Health Counselor
  • Charlotte C H, VA
National Provider Identifier
1669492880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003665 Issued in VA
Practice address
410 Thomas Jefferson Hwy
Charlotte CH, VA 23923
Phone
(434) 542-5187
Fax
(434) 542-5879
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0701003665 VA Primary

Addresses

Primary practice location

410 Thomas Jefferson Hwy
Charlotte CH, VA 23923

Mailing address

PO Box 248
Farmville, VA 23901-0248
Phone (434) 392-7049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240521003014 VA Practitioner - Mental Health Counselor 5991147092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Tree Wellness Center, LLCGroup PAC ID 1355783457, 2 clinicians

Practice addresses (Care Compare)

290 Court St
PO Box 783
Appomattox, VA 24522-5609
Phone (434) 664-7706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Wellness Center, LLC CurrentSince Feb 9, 2024 Accepting new patients
Crossroads Services Board Mental Health PastSince Feb 28, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669492880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010248",
            "telephone_number": "434-392-7049",
            "fax_number": "434-392-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 THOMAS JEFFERSON HWY",
            "city": "CHARLOTTE CH",
            "state": "VA",
            "postal_code": "23923",
            "telephone_number": "434-542-5187",
            "fax_number": "434-542-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "JOY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte C H, VA

Sources for this page

Verify at the official NPI Registry.