Individual provider Active NPI

Deena Michelle Robertson, MA, LPC

  • Professional Counselor
  • Lynchburg, VA
National Provider Identifier
1851049829
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013971 Issued in VA
Practice address
1933 Thomson Dr
Lynchburg, VA 24501-1008
Phone
(434) 616-6762
NPI assigned
Mar 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 070414456 VA
Professional Counselor 101YP2500X 0701013971 VA Primary

Addresses

Primary practice location

1933 Thomson Dr
Lynchburg, VA 24501-1008

Mailing address

1933 Thomson Dr
Lynchburg, VA 24501-1008
Phone (434) 420-8407

Other practice location 1

7960 Donegan Dr Ste 200
Manassas, VA 20109-8236
Phone (571) 208-0592

Other practice location 2

7730 Donegan Dr
Manassas, VA 20109-2868
Phone (571) 208-0592

Other practice location 3

130 Carriebrooke Dr
Stephens City, VA 22655-6000
Phone (540) 486-4653

Other practice location 4

4445 Corporation Ln Ste 245
Virginia Beach, VA 23462-3676
Phone (757) 233-0003

Other practice location 5

11835 Fishing Point Dr Ste 202
Newport News, VA 23606-2585
Phone (757) 243-1033

Other practice location 6

6800 Paragon Pl Ste 237
Richmond, VA 23230-1651
Phone (804) 562-9997

Other practice location 7

3433 Brambleton Ave Ste 201A
Roanoke, VA 24018-6527
Phone (540) 266-7550

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
I20241209002335 VA Practitioner - Mental Health Counselor 9830625201 Practice locations: Concord, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6800 Paragon PL
Suite 200
Richmond, VA 23230-1649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070414456VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Early Years ABA Therapy LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1851049829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011008",
            "telephone_number": "434-420-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011008",
            "telephone_number": "434-616-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7960 Donegan Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201098236",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7730 Donegan Dr",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092868",
            "country_code": "US",
            "telephone_number": "571-208-0592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Carriebrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Stephens City",
            "state": "VA",
            "postal_code": "226556000",
            "country_code": "US",
            "telephone_number": "540-486-4653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Corporation Ln Ste 245",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623676",
            "country_code": "US",
            "telephone_number": "757-233-0003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11835 Fishing Point Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062585",
            "country_code": "US",
            "telephone_number": "757-243-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Paragon Pl Ste 237",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301651",
            "country_code": "US",
            "telephone_number": "804-562-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 Brambleton Ave Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240186527",
            "country_code": "US",
            "telephone_number": "540-266-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "DEENA",
        "middle_name": "MICHELLE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "070414456",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.