Dana Marie Wilkerson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005600 Issued in VA

Practice address

20838 Timberlake Rd Ste B
Lynchburg, VA 24502-7241

Phone

(434) 473-7458

Fax

(434) 382-0699

NPI assigned

Oct 1, 2013

Last updated

Oct 1, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Living Water Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1619264892
  Medicare reassignment NPD

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1891122131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 RUNNER STONE DR",
            "city": "EVINGTON",
            "state": "VA",
            "postal_code": "245504330",
            "telephone_number": "434-660-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20838 TIMBERLAKE RD STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245027241",
            "telephone_number": "434-473-7458",
            "fax_number": "434-382-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR VIRGINIA BOARD OF COUNSELING",
            "identifier": "0701005600",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy J Wilcoxson, D.O.
• Wildflower Valley Therapy LLC
• Cynthia Cole Wiley, M.S. CCC-SLP
• Stephen C Wiley, PT, ATC
• Alexander Macleod Wilgus, MD
• Rodney Wilkerson, LPC
• Hayley S Wilkes, DPT
• Jadi Wilks
• Michael Will, MD
• Caitlin Klimavicz Willemann, MD

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.