The Madeline Centre Incorporated

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE MADELINE CENTRE INCORPORATED

Practice address

18697 Forest Rd
Lynchburg, VA 24502-4363

Phone

(434) 239-0003

Fax

(434) 239-0181

NPI assigned

Jan 18, 2007

Last updated

Jun 22, 2012By 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

Ms. Deborah Hall Berkley, EDD, LPCNPI 1083620454

Title

Owner

Phone

(434) 239-0003

Specialties & licenses 1

Addresses

Locations

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.

• Deborah Hall Berkley, EDD, LPC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1083620454
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1710039540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18697 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024363",
            "telephone_number": "434-239-0003",
            "fax_number": "434-239-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024363",
            "telephone_number": "434-239-0003",
            "fax_number": "434-239-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MADELINE CENTRE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "BERKLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-239-0003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EDD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lynchburg, VA
• Providers in Lynchburg, 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 Jun 22, 2012; 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.