Individual provider Active NPI

Joan Reilly Landolt, LCSW

  • Mental Health Counselor
  • Roanoke, VA
National Provider Identifier
1821004938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904005046 Issued in VA
Practice address
301 Elm Ave SW
Roanoke, VA 24016-4001
Phone
(540) 345-9841
Fax
(540) 527-2900
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904005046 VA Primary

Addresses

Primary practice location

301 Elm Ave SW
Roanoke, VA 24016-4001

Mailing address

301 Elm Ave SW
Roanoke, VA 24016-4001
Phone (540) 345-9841

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
I20110502000001 VA Practitioner - Clinical Social Worker 3274718531 Reassigns benefits to 1 organization
Practice locations: Salem, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Salem, VA 24153
Phone (540) 491-0125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Behavioral Healthcare CurrentSince Jun 29, 2025 Accepting new patients
Sunrise Dependency Solutions LLC Past Accepting new patients
Anderson & Associates, LLC PastSince Jul 1, 2022 Accepting new patients

Locations

301 Elm Ave SW
Roanoke, VA 24016
Phone (540) 266-9200

611 McDowell Ave NW
Roanoke, VA 24016
Phone (540) 266-9200

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821004938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-345-9841",
            "fax_number": "540-527-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164001",
            "telephone_number": "540-345-9841",
            "fax_number": "540-527-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDOLT",
        "first_name": "JOAN",
        "middle_name": "REILLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904005046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.