NPIMap

Organization Active NPI

Abingdon Center Counseling Group, Inc.

  • Clinical Social Worker
  • Abingdon, VA
National Provider Identifier
1770655409
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ABINGDON CENTER COUNSELING GROUP, INC.
Practice address
350 Russell Road
Abingdon, VA 24210-2761
Phone
(276) 628-1664
Fax
(276) 628-9875
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Lynda S Warner, MSWNPI 1144302076
Title
V-Pres
Phone
(276) 628-1664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

350 Russell Road
Abingdon, VA 24210-2761

Mailing address

PO Box 1443
Abingdon, VA 24212-1443
Phone (276) 628-1664

Other identifiers 5

IdentifierTypeStateIssuer
270245OtherVAMANAGED HEALTH NETWORK
344078OtherVAMAMSI OPTIMUM CHOICE
860436OtherVASENTARA OPTIMA
146957000OtherVAMAGELLAN
061980OtherVAANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001040 VA Part B Supplier - Clinic/Group Practice 6406831825 Receives reassigned benefits from 2 practitioners
Practice locations: Abingdon, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1770655409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1443",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242121443",
            "telephone_number": "276-628-1664",
            "fax_number": "276-628-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RUSSELL ROAD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102761",
            "telephone_number": "276-628-1664",
            "fax_number": "276-628-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON CENTER COUNSELING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "V-PRES",
        "authorized_official_telephone_number": "276-628-1664",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "270245",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OPTIMUM CHOICE",
            "identifier": "344078",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "860436",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "146957000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "061980",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.