Active NPI
Colleen Marie Gleason, ED.M., M.S., L.P.C.
- Professional Counselor
- Farmville, VA
National Provider Identifier
1922318211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701016536
- Practice address
- 402 Jamestown Rd
Farmville, VA 23901-3909 - Phone
- (434) 414-8302
- NPI assigned
- Oct 20, 2010
- Last updated
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701016536 | VA | MD | Professional Counselor |
| PGP0658289 | VA | MD | Developmental 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.