Mary Susan Chittum, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701008711 Issued in VA

Practice address

311 S Monroe Ave
Covington, VA 24426-1635

Phone

(540) 965-2100

Fax

(540) 965-2105

NPI assigned

Feb 20, 2020

Last updated

Jan 15, 2025By 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

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.

• Alleghany Highlands Community Services

  • Community/Behavioral Health Agency
  • Covington, VA
  • NPI 1730136151
  Medicare reassignment NPD
• Alleghany Highlands Community Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Covington, VA
  • NPI 1518055367
  NPD (past)

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1902439672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E HAWTHORNE ST",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261620",
            "telephone_number": "540-965-6135",
            "fax_number": "540-965-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MONROE AVE",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261635",
            "telephone_number": "540-965-2100",
            "fax_number": "540-965-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTUM",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Boyd Jr., MD
• Bright Smile Dental Clinic LLC
• Rachel Renae Brown, LPC
• Dustin Shane Butler
• Debra W. Carter, RN
• City of Covington
• Cindy L Clinebell
• Annette Marie Comer, MS
• Commonwealth of Virginia State Board of Health (Alleghany Co/Covington Health Department)
• Counseling Associates of the Highlands

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.