Individual provider Active NPI

Ralph E Ott, LPC

  • Professional Counselor
  • Bristol, VA
National Provider Identifier
1932247293
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002294 Issued in VA
Practice address
261 North St
Bristol, VA 24201-3275
Phone
(276) 821-8030
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 0701002294 VA Primary

Addresses

Primary practice location

261 North St
Bristol, VA 24201-3275

Mailing address

100 E Millard St
Johnson City, TN 37601-4727
Phone (423) 742-7400

Other practice location 1

482 Bradley St SW
Abingdon, VA 24210-3008
Phone (276) 451-3996

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

State licenses

LicenseStateTypeSpecialty
0701002294VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Housing Management Corp CurrentSince Jun 30, 2024 Accepting new patients

Locations

100 E Millard St
Johnson City, TN 37601
Phone (423) 845-5600

482 Bradley St SW
Abingdon, VA 24210
Phone (276) 451-3996

261 North St
Bristol, VA 24201
Phone (276) 254-5445

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1932247293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MILLARD ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014727",
            "telephone_number": "423-742-7400",
            "fax_number": "423-467-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 NORTH ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013275",
            "telephone_number": "276-821-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "482 Bradley St SW",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242103008",
            "country_code": "US",
            "telephone_number": "276-451-3996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "RALPH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.