Active NPI
Danielle Carson, LPC, LMFT
- Marriage & Family Therapist
- Hayes, VA
National Provider Identifier
1750704698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001290
- Practice address
- 2926 George Washington Memorial Hwy
Hayes, VA 23072-3429 - Phone
- (757) 870-7763
- NPI assigned
- Jan 29, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005289 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717001290 | VA | Primary |
Addresses
Primary practice location
2926 George Washington Memorial Hwy
Hayes, VA 23072-3429
Mailing address
8516 Thomas Jefferson Way
Gloucester, VA 23061-5485
Phone (757) 870-7763
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497717615 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005289 | VA | MD | Professional Counselor |
| 0717001290 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family of Choice LLC | Professional | Current | Accepting new patients |
| Middle Peninsula Northern Neck Mental Health & Retardation | Past | Accepting new patients | |
| Middle Peninsula-Northern Neck Mental Health and Mental Retardation | Past | Accepting new patients |
Locations
2924 George Washington Memorial Hwy
Hayes, VA 23072
Phone (757) 870-7763
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gloucester, VA
- NPI 1497717615
-
- Speech-Language Pathologist
- Urbanna, VA
- NPI 1992879282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1750704698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8516 THOMAS JEFFERSON WAY",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230615485",
"telephone_number": "757-870-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2926 GEORGE WASHINGTON MEMORIAL HWY",
"city": "HAYES",
"state": "VA",
"postal_code": "230723429",
"telephone_number": "757-870-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "DANIELLE",
"credential": "LPC, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-29",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005289",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497717615",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayes, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.