Active NPI
Glenn N Scarboro, LCSW
- Mental Health Counselor
- Danville, VA
National Provider Identifier
1669578027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904001696
- Practice address
- 500 Piney Forest Rd
Suite C
Danville, VA 24540-3315 - Phone
- (434) 792-7437
- Fax
- (434) 792-7434
- NPI assigned
- Sep 15, 2006
- Last updated
- Jun 25, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 0904001696 | VA | Primary |
Addresses
Primary practice location
500 Piney Forest Rd
Suite C
Danville, VA 24540-3315
Mailing address
1045 Main Street, Suite 5
Counseling and Psychological Services, LLC
Danville, VA 24541-1800
Phone (434) 792-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010268907 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1045 Main St
Danville, VA 24541-1800
Phone (434) 792-2277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychological Services,LLC | Current | Accepting new patients |
Locations
1045 Main St
Ste 5
Danville, VA 24541
Phone (434) 792-2277
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danville, VA
- NPI 1356626527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1669578027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 MAIN STREET, SUITE 5",
"address_2": "COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411800",
"telephone_number": "434-792-2277",
"fax_number": "434-792-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PINEY FOREST RD",
"address_2": "SUITE C",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245403315",
"telephone_number": "434-792-7437",
"fax_number": "434-792-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBORO",
"first_name": "GLENN",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904001696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010268907",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.