CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC (NPI# 1982886396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982886396 |
| Entity Type | Organization |
| Organization Name | CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC |
| Other Organization Name | NEW RIVER LEAGUE OF THERAPISTS |
| Practice Address |
7350 Peppers Ferry Blvd Fairlawn VA 24141-8856 |
| Practice Telephone | 5406333816 |
| Practice Fax Number | 5406333819 |
| Mailing Telephone | 5406333816 |
| Mailing Fax Number | 5406333819 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | VICTORIA GIBSON (OFFICE ASSISTNAT) |
| Authorized Official Telephone | 4349840023 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLOTTESVILLE LEAGUE OF THERAPISTS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| New River League of Therapists | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982703658 | Charlottesville League of Therapists, Inc | Counselor | 1420 3rd St Sw, Roanoke, VA 24016-5205 | 2006-09-21 |
| 1811286180 | Charlottesville League of Therapists, Inc | Day Training, Developmentally Disabled Services | 1046 Main Street, Dillwyn, VA 23936 | 2011-04-07 |
| 1093004871 | Charlottesville League of Therapists, Inc | Counselor | 1046 Main Street, Dillwyn, VA 23936 | 2011-04-01 |
| 1033441969 | Charlottesville League of Therapists, Inc | Day Training, Developmentally Disabled Services | 1045 Main St, Suite 4, Danville, VA 24541-1800 | 2010-02-03 |
| 1306178231 | Charlottesville League of Therapists, Inc | Counselor | 1045 Main St, Suite 4, Danville, VA 24541-1800 | 2010-02-03 |
| 1063691186 | Charlottesville League of Therapists, Inc | Counselor | 590 E Market St, Harrisonburg, VA 22801-4241 | 2007-10-25 |
| Street Address |
7350 PEPPERS FERRY BLVD |
| City | FAIRLAWN |
| State | VA |
| Zip Code | 24141-8856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174568893 | Tri-medical LLC | Family Medicine | 7350 Peppers Ferry Blvd, Fairlawn, VA 24141-8856 | 2006-06-17 |
| 1497137871 | Sarah Erwin | Optometrist | 7350 Peppers Ferry Blvd, Fairlawn, VA 24141-8999 | 2015-06-23 |
| 1598025355 | Infinity Eye Care, Inc | Optometrist | 7350 Peppers Ferry Blvd, Fairlawn, VA 24141-8999 | 2012-05-25 |
| 1144482084 | Melissa Dawn Farley | Optometrist | 7350 Peppers Ferry Blvd, Fairlawn, VA 24141-8999 | 2008-07-01 |
| 1275707093 | Charlottesville League of Therapists | Day Training, Developmentally Disabled Services | 7350 Peppers Ferry Blvd, Fairlawn, VA 24141-8856 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891269080 | Karen Putman | Counselor | 3094 W Market St Ste 501, Fairlawn, OH 44333-3626 | 2019-01-22 |
| 1588262315 | Lauren Baker | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-10-14 |
| 1184231854 | Matthew C Neal | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2020-09-28 |
| 1093329724 | Kristyn Lein | Counselor | 3094 W Market St, Fairlawn, OH 44333-3626 | 2020-09-01 |
| 1164066676 | Carly Chapman | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-10-29 |
| 1871051979 | Katelyn Beaton | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2019-03-07 |
| 1679052385 | Dana Grawe | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-08-13 |
| 1124510417 | Joseph Daniel White | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-06-01 |
| 1164914891 | Kylie Leicht | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-05-30 |
| 1558851691 | Maddison L Miles | Counselor | 3094 W Market St Ste 105, Fairlawn, OH 44333-3617 | 2018-05-15 |
| Find all providers in FAIRLAWN | ||||
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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.