JOAN REILLY LANDOLT (NPI# 1821004938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821004938 |
| Entity Type | Individual |
| Full Name | JOAN REILLY LANDOLT |
| Credential | LCSW |
| Practice Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
| Practice Telephone | 5403459841 |
| Practice Fax Number | 5405272900 |
| Mailing Telephone | 5403459841 |
| Mailing Fax Number | 5405272900 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0904005046 | VA | Behavioral Health & Social Service Providers |
| Street Address |
301 ELM AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437137734 | Blue Ridge Behavioral Healthcare | Clinic/Center | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-01-06 |
| 1508497512 | Elizabeth Ann Connolly | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2020-01-29 |
| 1083012363 | Latonya Bolden Bolden | Social Worker | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-12-18 |
| 1114340338 | Suzanne Marie Rea | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2014-01-23 |
| 1063669687 | Allyson Rae Gray | Licensed Practical Nurse | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2008-08-26 |
| 1124207568 | Susan N Newton | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2007-11-02 |
| 1790861946 | Blue Ridge Behavioral Healthcare | Substance Abuse Rehabilitation Facility | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-10-31 |
| 1265530745 | Barbara Dawn Fulcher | Nurse Practitioner | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-09-20 |
| 1952348773 | Kristi Renee Cales | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-06-01 |
| 1871562439 | Gina Bevins Wilburn | Counselor | 301 Elm Ave Sw, Roanoke, VA 24016-4001 | 2006-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352645 | Victor M Rivera Sink | Counselor | 637 Webster Heights Rd, Roanoke, VA 24012-8988 | 2020-10-01 |
| 1902427495 | Lance Crawford | Counselor | 17 Church Ave Sw Apt 303, Roanoke, VA 24011-2011 | 2020-05-06 |
| 1992325344 | Joy-filled Counseling, Pllc | Counselor | 15600 Yarberry Dr, Roanoke, TX 76262-3364 | 2020-04-24 |
| 1881226173 | Shelby M Wynn | Counselor | 1942 Fairhope Rd Nw, Roanoke, VA 24017-1708 | 2020-02-05 |
| 1215587423 | Tara Hutcheson | Counselor | 846 Campbell Ave Sw, Roanoke, VA 24016-3536 | 2019-09-19 |
| 1437702461 | John Aubrey Hosey | Counselor | 3023 Peters Creek Rd Nw Ste B, Roanoke, VA 24019-2758 | 2019-07-18 |
| 1740846773 | Heather Erin Hamed-moore | Counselor | 541 Luck Ave Sw Ste 209, Roanoke, VA 24016-5055 | 2019-05-15 |
| 1770046120 | Heartspace Counseling, Plc | Counselor | 2502 Broadway Ave Sw Uppr Unit, Roanoke, VA 24014-1663 | 2019-04-12 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1053848507 | Natalie Sanders | Counselor | 4537 Hammond Ln, Roanoke, VA 24018-3921 | 2017-05-15 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.