NPIMap

Organization Active NPI

Virginia Oak Counseling, LLC

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1982161238
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIRGINIA OAK COUNSELING, LLC
Practice address
312 E Market St Ste F
Leesburg, VA 20176-4173
Phone
(703) 493-0467
NPI assigned
Feb 22, 2019
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Amanda Palmer, LCSW
Title
Billing Agent
Phone
(540) 975-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

312 E Market St Ste F
Leesburg, VA 20176-4173

Mailing address

PO Box 103
Bluemont, VA 20135-0103
Phone (703) 493-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190402001314 VA Part B Supplier - Clinic/Group Practice 4981945870 Receives reassigned benefits from 16 practitioners
Practice locations: Leesburg, VA
O20230308000235 RI Part B Supplier - Clinic/Group Practice 4981945870 Receives reassigned benefits from 7 practitioners
Practice locations: Portsmouth, RI

National Provider Directory

National Provider Directory

Locations

2984 E Main Rd
Portsmouth, RI 02871
Phone (703) 493-0467

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1982161238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "BLUEMONT",
            "state": "VA",
            "postal_code": "201350103",
            "telephone_number": "703-493-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MARKET ST STE F",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764173",
            "telephone_number": "703-493-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA OAK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "540-975-0787",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.