Individual provider Active NPI

Dorothy Marie Butts-Valentine, LPC

  • Mental Health Counselor
  • Stafford, VA
National Provider Identifier
1851532345
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701009602 Issued in VA
Practice address
2052 Richmond Hwy Ste 109
Stafford, VA 22554-7286
Phone
(571) 406-6714
Fax
(888) 622-1615
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 0701009602 VA Primary

Addresses

Primary practice location

2052 Richmond Hwy Ste 109
Stafford, VA 22554-7286

Mailing address

800 Corporate Dr Ste 301
Stafford, VA 22554-4889
Phone (833) 615-1148

Other names 1

  • Dorothy Butts-Gordon Former name

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
I20241029001555 VA Practitioner - Mental Health Counselor 9830459791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701009602VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Group Solutions Mental Health CurrentSince Oct 4, 2017 Accepting new patients

Locations

800 Corporate Dr
Ste 301
Stafford, VA 22554
Phone (540) 300-5448

2052 Richmond Hwy
Ste 109
Stafford, VA 22554
Phone (540) 419-5498

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1851532345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR STE 301",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225544889",
            "telephone_number": "833-615-1148",
            "fax_number": "888-622-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RICHMOND HWY STE 109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547286",
            "telephone_number": "571-406-6714",
            "fax_number": "888-622-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS-VALENTINE",
        "first_name": "DOROTHY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701009602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "BUTTS-GORDON",
            "credential": "LPC-S, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.