Organization Active NPI

Chestnut Creek Counseling Center

  • Multi-Specialty Clinic/Center
  • Galax, VA
National Provider Identifier
1962743153
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
0701004487 Issued in VA
Legal business name
CHESTNUT CREEK COUNSELING CENTER
Practice address
210 Calhoun St
Galax, VA 24333-3806
Phone
(276) 238-1301
Fax
(276) 238-1302
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Sandra L Venzie, LPC
Title
Licensed Professional Counselor
Phone
(276) 768-8869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 0701004487 VA Primary

Addresses

Primary practice location

210 Calhoun St
Galax, VA 24333-3806

Mailing address

210 Calhoun St
Galax, VA 24333-3806
Phone (276) 238-1301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1962743153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CALHOUN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333806",
            "telephone_number": "276-238-1301",
            "fax_number": "276-238-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CALHOUN ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333806",
            "telephone_number": "276-238-1301",
            "fax_number": "276-238-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT CREEK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "VENZIE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "276-768-8869",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "VA",
            "license": "0701004487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.