Individual provider Active NPI

Sophia Eisdorfer Settle, MS, LPC

  • Mental Health Counselor
  • Powhatan, VA
National Provider Identifier
1801336748
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0107008800 Issued in VA
Practice address
3910 Old Buckingham Rd
Powhatan, VA 23139-5757
Phone
(804) 598-2200
Fax
(804) 598-3114
NPI assigned
Feb 25, 2017
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 0183321 NM
Mental Health Counselor 101YM0800X 0107008800 VA Primary

Addresses

Primary practice location

3910 Old Buckingham Rd
Powhatan, VA 23139-5757

Mailing address

3910 Old Buckingham Rd
Powhatan, VA 23139-5757
Phone (804) 598-2200

Other practice location 1

2501 San Pedro Dr NE
Albuquerque, NM 87110-4131
Phone (505) 414-7721

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
I20240430001640 VA Practitioner - Mental Health Counselor 6709226392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goochland Powhatan Community ServicesGroup PAC ID 5193812501, 10 clinicians

Practice addresses (Care Compare)

3058 River Rd W
Goochland, VA 23063-3202
Phone (804) 556-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0183321NMMDMental Health Counselor
0107008800VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Goochland Powhatan Community Services CurrentSince Mar 9, 2024 Accepting new patients
Arbor Counseling Past Accepting new patients
Goochland County Board of Supervisors PastSince Nov 6, 2022 Accepting new patients

Locations

3910 Old Buckingham Rd
Powhatan, VA 23139
Phone (804) 598-2200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1801336748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 OLD BUCKINGHAM RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395757",
            "telephone_number": "804-598-2200",
            "fax_number": "804-598-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 OLD BUCKINGHAM RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395757",
            "telephone_number": "804-598-2200",
            "fax_number": "804-598-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 San Pedro Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871104131",
            "country_code": "US",
            "telephone_number": "505-414-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETTLE",
        "first_name": "SOPHIA",
        "middle_name": "EISDORFER",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0183321",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0107008800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.