Individual provider Active NPI

Yvonne M Fall, LPC

  • Professional Counselor
  • Ashland, VA
National Provider Identifier
1871855668
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005044 Issued in VA
Practice address
9568 Kings Charter Dr Ste 103
Ashland, VA 23005-7955
Phone
(804) 412-8515
Fax
(844) 809-7256
NPI assigned
Jun 8, 2012
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005044 VA Primary

Addresses

Primary practice location

9568 Kings Charter Dr Ste 103
Ashland, VA 23005-7955

Mailing address

9568 Kings Charter Dr
Suite 103
Ashland, VA 23005-0078
Phone (804) 412-8515

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
I20240730000664 VA Practitioner - Mental Health Counselor 7113464934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9568 Kings Charter Dr
Suite 103
Ashland, VA 23005-7955
Phone (804) 412-8515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005044VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne M. Fall, LPC, LLC Professional CurrentSince Jun 5, 2024 Accepting new patients

Locations

9568 Kings Charter Dr
Ste 103
Ashland, VA 23005
Phone (804) 412-8515

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, 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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1871855668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9568 KINGS CHARTER DR",
            "address_2": "SUITE 103",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230050078",
            "telephone_number": "804-412-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9568 KINGS CHARTER DR STE 103",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057955",
            "telephone_number": "804-412-8515",
            "fax_number": "844-809-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALL",
        "first_name": "YVONNE",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.