Individual provider Active NPI

Maryl Rozelle

  • Mental Health Counselor
  • Lynchburg, VA
National Provider Identifier
1780447243
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701013557 Issued in VA
Practice address
112 Candlewood CT
Lynchburg, VA 24502-2653
Phone
(434) 258-0591
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701013557 VA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

112 Candlewood CT
Lynchburg, VA 24502-2653

Mailing address

406 Lake Vista Dr
Forest, VA 24551-1906
Phone (717) 406-5067

Other practice location 1

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-4645

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
I20241014002564 VA Practitioner - Mental Health Counselor 0042742207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701013557VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill City Counseling and Consulting, LLC CurrentSince Feb 11, 2024 Accepting new patients
Garman & Proffitt Physical Therapy, Inc CurrentSince Feb 11, 2024 Accepting new patients

Locations

112 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 258-0591

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1780447243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LAKE VISTA DR",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511906",
            "telephone_number": "717-406-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CANDLEWOOD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022653",
            "telephone_number": "434-258-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Rivermont Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245032030",
            "country_code": "US",
            "telephone_number": "434-200-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROZELLE",
        "first_name": "MARYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701013557",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.