NPIMap

Organization Active NPI

Life Works Professional Counseling, PLLC

  • Professional Counselor
  • Ruckersville, VA
National Provider Identifier
1689148777
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFE WORKS PROFESSIONAL COUNSELING, PLLC
Practice address
8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494
Phone
(434) 990-1744
Fax
(434) 939-9401
NPI assigned
Jan 11, 2019
Last updated
Oct 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Crystal D Myers, LPCNPI 1326315482
Title
Owner of Single Member LLC
Phone
(434) 990-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494

Mailing address

8767 Seminole TRL Ste 101
Ruckersville, VA 22968-3494
Phone (434) 990-1744

Other practice location 1

250 Memorial Dr # B
Luray, VA 22835-1000
Phone (434) 990-1744

Other practice location 2

126 Creekside Ln
Winchester, VA 22602-2429
Phone (434) 990-1744

Other practice location 3

294 E Main St
Stanley, VA 22851-4039
Phone (434) 990-1744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220407000250 VA Part B Supplier - Clinic/Group Practice 0143616706 Receives reassigned benefits from 12 practitioners
Practice locations: Winchester, VA; Stanley, VA; Ruckersville, VA; Luray, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2315063Life Works Professional Counseling, PLLC8767 Seminole Trail, Suite 101, Ruckersville, VA 22968Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Locations

8767 Seminole Trl
Ste 201B
Ruckersville, VA 22968
Phone (434) 990-1744

294 E Main St
Stanley, VA 22851
Phone (434) 990-1744

126 Creekside Ln
Winchester, VA 22602
Phone (434) 990-1744

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1689148777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 101",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683494",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 101",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683494",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Memorial Dr # B",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Creekside Ln",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226022429",
            "country_code": "US",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "294 E Main St",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "VA",
            "postal_code": "228514039",
            "country_code": "US",
            "telephone_number": "434-990-1744",
            "fax_number": "434-939-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE WORKS PROFESSIONAL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER OF SINGLE MEMBER LLC",
        "authorized_official_telephone_number": "434-990-1744",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruckersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.