Active NPI
Kevin Earle, MA,LPC,CCMHC,NCC
- Mental Health Counselor
- Danville, VA
National Provider Identifier
1700329463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701004959
- Practice address
- 1045 Main St
Suite 5
Danville, VA 24541-1800 - Phone
- (434) 792-2277
- NPI assigned
- Nov 29, 2016
- 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 | 0701004959 | VA | Primary |
Addresses
Primary practice location
1045 Main St
Suite 5
Danville, VA 24541-1800
Mailing address
1045 Main St
Suite 5
Danville, VA 24541-1800
Phone (434) 792-2277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004959 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1700329463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 MAIN ST",
"address_2": "SUITE 5",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411800",
"telephone_number": "434-792-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 MAIN ST",
"address_2": "SUITE 5",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411800",
"telephone_number": "434-792-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLE",
"first_name": "KEVIN",
"credential": "MA,LPC,CCMHC,NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701004959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
- Patricia Ann Duprey, MD
- Jeffrey Carson Durand, ATC, CSCS
- Jennifer Durham, DNP-AGPCNP
- Pam Oakley Durham, PMHNP
- Eagle Phoenix Residential & Behavorial Health Services LLC
- Caroline Hughes Early, PTA
- Jo Ann Earp, MSN,APRN-BC,FNP
- Grace Williams East, PTA
- William Eric Eberhardt, D.O.
- Patricia Fitzgerald Edmunds
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.