Active NPI
Virginia Lorena Sanchez-Valdez
- Professional Counselor
- Evans, GA
National Provider Identifier
1821563750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 110 Pond View Rd
Evans, GA 30809-6682 - Phone
- (706) 305-8026
- Fax
- (706) 364-1419
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011390 | GA | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
110 Pond View Rd
Evans, GA 30809-6682
Mailing address
110 Pond View Rd
Evans, GA 30809-6682
Phone (706) 305-8026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852252585 | Other | GA | LICENSE PROFESSIONAL COUNSELOR |
| S52287277829 | Other | IL | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | virginia@overflowinggracecc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011390 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1821563750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 POND VIEW RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096682",
"telephone_number": "706-305-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 POND VIEW RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096682",
"telephone_number": "706-305-8026",
"fax_number": "706-364-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ-VALDEZ",
"first_name": "VIRGINIA",
"middle_name": "LORENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "011390",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE PROFESSIONAL COUNSELOR",
"identifier": "852252585",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "S52287277829",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "virginia@overflowinggracecc.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "110 Pond View Rd",
"city": "Evans",
"state": "GA",
"country_code": "US",
"postal_code": "308096682",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.