Active NPI
Shirley J Prosser, MA EDS LPC
- Professional Counselor
- Winchester, VA
National Provider Identifier
1710032719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002151
- Practice address
- 21 South Kent Street
Winchester, VA 22601 - Phone
- (540) 667-8004
- Fax
- (540) 667-3567
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002151 | VA | Primary |
Addresses
Primary practice location
21 South Kent Street
Winchester, VA 22601
Mailing address
21 South Kent Street
Winchester, VA 22601
Phone (540) 667-8004
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 |
|---|---|---|---|
| 0701002151 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710032719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SOUTH KENT STREET",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22601",
"telephone_number": "540-667-8004",
"fax_number": "540-667-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SOUTH KENT STREET",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "22601",
"telephone_number": "540-667-8004",
"fax_number": "540-667-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "SHIRLEY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MA EDS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
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- Professional Sportscare & Rehab, LLC (Pivot Physical Therapy of Metro DC)
- Alfred Proto, M.D.
- Rileigh Provenza, PHARMD
- Morgan Pruett
- Rachel D Pryslak
- Psychological Health Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.