Individual provider Active NPI

Colleen Marie Gleason, ED.M., M.S., L.P.C.

  • Professional Counselor
  • Farmville, VA
National Provider Identifier
1922318211
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701016536 Issued in VA
Practice address
402 Jamestown Rd
Farmville, VA 23901-3909
Phone
(434) 414-8302
NPI assigned
Oct 20, 2010
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X PGP0658289 VA
Professional Counselor 101YP2500X 0701016536 VA Primary

Addresses

Primary practice location

402 Jamestown Rd
Farmville, VA 23901-3909

Mailing address

402 Jamestown Rd
Farmville, VA 23901-3909
Phone (434) 414-8302

Other practice location 1

402 Jamestown Rd
Farmville, VA 23901-3909
Phone (434) 414-8302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701016536VAMDProfessional Counselor
PGP0658289VAMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1922318211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 JAMESTOWN RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013909",
            "telephone_number": "434-414-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 JAMESTOWN RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013909",
            "telephone_number": "434-414-8302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Jamestown Rd",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239013909",
            "country_code": "US",
            "telephone_number": "434-414-8302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ED.M., M.S., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "VA",
            "license": "PGP0658289",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701016536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.