County Line Counselors

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNTY LINE COUNSELORS

Practice address

620 County Line Rd
Bassett, VA 24055-5157

Phone

(276) 790-7497

NPI assigned

Jan 3, 2024

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleta Gibbs, LPC, LSATPNPI 1861059628

Title

Owner

Phone

(276) 790-7497

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Aleta Gibbs, PHD, LPC, LSATP

  • Professional Counselor
  • Bassett, VA
  • NPI 1861059628
  NPD Authorized official

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1700656568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COUNTY LINE RD",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240555157",
            "telephone_number": "276-790-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COUNTY LINE RD",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240555157",
            "telephone_number": "276-790-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY LINE COUNSELORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "ALETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-790-7497",
        "authorized_official_credential": "LPC, LSATP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Brodie, LCSW
• Joseph Daniel Bryant, COTA
• Kathryn M Bye, NBC-HWC
• Rhonda K Clark, NP
• Edrie Cook, SPEECH LANGUAGE PATH
• County Line Enhancement Services (County Line Community Services)
• Jordan Cox, DPT
• Bertram Davis
• Kimberly Dawn Edwards, LPTA
• Family Discount Pharmacy, Inc. (Family Pharmacy 1)

• Mental Health Counselor in Bassett, VA
• Providers in Bassett, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.