Individual provider Active NPI

Rodney Alan Valandra, LPCC

  • Professional Counselor
  • Burlington, KY
National Provider Identifier
1730496738
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104293 Issued in KY
Practice address
6080 Camp Ernst Rd
Burlington, KY 41005-8354
Phone
(859) 982-9296
Fax
(859) 980-0266
NPI assigned
Sep 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104293 KY Primary

Addresses

Primary practice location

6080 Camp Ernst Rd
Burlington, KY 41005-8354

Mailing address

3624 Jonathan Dr
Hebron, KY 41048-8209
Phone (859) 982-9296

Other identifiers 1

IdentifierTypeStateIssuer
1730496738OtherKYNPI

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

State licenses

LicenseStateTypeSpecialty
104293KYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1730496738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 JONATHAN DR",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488209",
            "telephone_number": "859-982-9296",
            "fax_number": "859-980-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CAMP ERNST RD",
            "city": "BURLINGTON",
            "state": "KY",
            "postal_code": "410058354",
            "telephone_number": "859-982-9296",
            "fax_number": "859-980-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALANDRA",
        "first_name": "RODNEY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-12",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730496738",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, KY

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.

Verify at the official NPI Registry.