Individual provider Active NPI

Ami Nichole Deel-Sanders, LPC

  • Professional Counselor
  • Pounding Mill, VA
National Provider Identifier
1982249165
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008504 Issued in VA
Practice address
220 Clay Dr
Pounding Mill, VA 24637-4320
Phone
(276) 963-3606
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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 0701008504 VA Primary

Addresses

Primary practice location

220 Clay Dr
Pounding Mill, VA 24637-4320

Mailing address

PO Box 193
Pilgrims Knob, VA 24634-0193
Phone (276) 202-9184

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
0701008504VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Preservation Services LLC CurrentSince Sep 14, 2020 Accepting new patients

Locations

220 Clay Dr
Pounding Mill, VA 24637
Phone (304) 887-8889

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1982249165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "PILGRIMS KNOB",
            "state": "VA",
            "postal_code": "246340193",
            "telephone_number": "276-202-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CLAY DR",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374320",
            "telephone_number": "276-963-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEL-SANDERS",
        "first_name": "AMI",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pounding Mill, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.