Individual provider Active NPI

Christine L Conde, LMFT

  • Marriage & Family Therapist
  • Roanoke, VA
National Provider Identifier
1710519459
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001600 Issued in VA
Practice address
4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605
Phone
(540) 772-8043
Fax
(540) 772-8242
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001600 VA Primary

Addresses

Primary practice location

4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605

Mailing address

4346 Starkey Rd Ste 1
Roanoke, VA 24018-0605
Phone (540) 772-8043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250312000304 VA Practitioner - Marriage and Family Therapist 7315468998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calming Waters Counseling LLCGroup PAC ID 5092161315, 3 clinicians

Practice addresses (Care Compare)

1356 Roanoke Rd
Daleville, VA 24083-2571
Phone (540) 591-7135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0717001600VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Marriage & Family Therapist CurrentSince Feb 7, 2025 Accepting new patients
Calming Waters Counseling LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

1356 Roanoke Rd
Daleville, VA 24083
Phone (540) 591-7135

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

4346 Starkey Rd
Ste 1
Roanoke, VA 24018

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1710519459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-772-8043",
            "fax_number": "540-772-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4346 STARKEY RD STE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180605",
            "telephone_number": "540-772-8043",
            "fax_number": "540-772-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.