Access Intensive Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ACCESS INTENSIVE COUNSELING LLC

Practice address

705 East Main Street
Lebanon, VA 24266

Phone

(276) 210-4618

Fax

(866) 718-7167

NPI assigned

Feb 21, 2013

Last updated

Feb 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan B Fogg, MS., CSAC, LPCNPI 1477889111

Title

Ceo

Phone

(276) 210-4618

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Buskill Fogg, LPC

  • Professional Counselor
  • Grundy, VA
  • NPI 1477889111
  NPD (past) Authorized official

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1831439223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246370683",
            "telephone_number": "276-210-4618",
            "fax_number": "886-671-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "24266",
            "telephone_number": "276-210-4618",
            "fax_number": "866-718-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS INTENSIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "FOGG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-210-4618",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS., CSAC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.