Individual provider Active NPI

Wolfgang Leonardo Rodriguez Ramirez, LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1811750516
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
371 Oakdale Cir
Lynchburg, VA 24502-7348
Phone
(434) 237-2655
NPI assigned
Feb 5, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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 Primary

Addresses

Primary practice location

371 Oakdale Cir
Lynchburg, VA 24502-7348

Mailing address

371 Oakdale Cir
Lynchburg, VA 24502-7348
Phone (434) 237-2655

Other names 1

  • Wolfgang Leonardo Rodriguez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • 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
I20241022005286 VA Practitioner - Mental Health Counselor 3375076870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyndhurst Counseling Center, LLC Professional CurrentSince Nov 26, 2024 Accepting new patients
Taylored Counseling Services LLC PastSince Feb 11, 2024 Accepting new patients

Locations

371 Oakdale Cir
Lynchburg, VA 24502
Phone (434) 237-2655

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, 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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1811750516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 OAKDALE CIR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027348",
            "telephone_number": "434-237-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 OAKDALE CIR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027348",
            "telephone_number": "434-237-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RAMIREZ",
        "first_name": "WOLFGANG",
        "middle_name": "LEONARDO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WOLFGANG",
            "last_name": "RODRIGUEZ",
            "middle_name": "LEONARDO",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.