Amy Gerberry, LPC
Individual provider Active NPI Professional Counselor · King George, VA
NPI 1669779013 · NPPES record last updated Nov 27, 2011
Key facts
- NPI
- 1669779013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701004647 (VA)
- Practice address
- 4089 Kings Hwy
King George, VA 22485-6647 - Phone
- (602) 509-0293
- Fax
- (540) 625-2177
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004647 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004647 | VA | Yes |
Addresses
Primary practice location
4089 Kings Hwy
King George, VA 22485-6647
Mailing address
PO Box 1095
King George, VA 22485-1095
Phone (602) 509-0293
Other providers in King George, VA
- Sherryann Frith-Aulder
- Megan Suzanne Fritz
- James Preston Frye Jr.
- William B Gallahan
- Gateway Counseling Center
- Megan Goodrich
- Rylee Autumn Xaverie Gragg
- Eileen Jennifer Rogers Graham
- Carole Greeley
- Briana Griffiths
All providers in King George, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.