Active NPI
Donald J Vernon, COUNSELOR
- Professional Counselor
- Winchester, VA
National Provider Identifier
1992877476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701002024
- Practice address
- 120 Bellview Ave
Winchester, VA 22601-3142 - Phone
- (540) 542-0200
- Fax
- (540) 542-0218
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002024 | VA | Primary |
Addresses
Primary practice location
120 Bellview Ave
Winchester, VA 22601-3142
Mailing address
120 Bellview Ave
Winchester, VA 22601-3142
Phone (540) 542-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0701002024 | Medicaid | VA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701002024 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992877476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BELLVIEW AVE",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013142",
"telephone_number": "540-542-0200",
"fax_number": "540-542-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BELLVIEW AVE",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013142",
"telephone_number": "540-542-0200",
"fax_number": "540-542-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "DONALD",
"middle_name": "J",
"credential": "COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0701002024",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.