Individual provider Active NPI

Donna Kim Naffah, LPC

  • Professional Counselor
  • Bristol, VA
National Provider Identifier
1972889368
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005116 Issued in VA
Practice address
1350 Lee Hwy
Bristol, VA 24201-3542
Phone
(276) 492-3772
Fax
(276) 644-9113
NPI assigned
Oct 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2012

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 0701005116 VA Primary

Addresses

Primary practice location

1350 Lee Hwy
Bristol, VA 24201-3542

Mailing address

1350 Lee Hwy
Bristol, VA 24201-3542
Phone (276) 492-3772

Other identifiers 1

IdentifierTypeStateIssuer
1972889368MedicaidVA

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
0701005116VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1972889368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013542",
            "telephone_number": "276-492-3772",
            "fax_number": "276-644-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013542",
            "telephone_number": "276-492-3772",
            "fax_number": "276-644-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFFAH",
        "first_name": "DONNA",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972889368",
            "state": "VA"
        }
    ],
    "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 May 7, 2012; 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.