Active NPI
Chestnut Creek Counseling Center
- Multi-Specialty Clinic/Center
- Galax, VA
National Provider Identifier
1962743153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 0701004487
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.