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SOUTHWEST REGIONAL COUNSELING SERVICE INC
NPI 1063078855
Counselor - Addiction (Substance Use Disorder) in Lebanon, VA

Active since May 16, 2019CLIA 49D2240183 · Waiver
1114 E MAIN ST STE 4, LEBANON, VA 24266(276) 883-5050(276) 883-5998 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southwest Regional Counseling Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHWEST REGIONAL COUNSELING SERVICE INC (NPI 1063078855) is a healthcare organization registered as an addiction (substance use disorder) in Lebanon, Virginia and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Joshua Lipford, Manager, as its authorized official.

NPPES Registry Identity

NPI1063078855
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameSOUTHWEST REGIONAL COUNSELING SERVICE INC
Location Address1114 E MAIN ST STE 4Lebanon, VA 24266-5014
Mailing AddressPo Box 306Lebanon, VA 24266-0306 · (273) 883-5050 · Fax (276) 883-5998
Phone(276) 883-5050
Fax(276) 883-5998
Organization SubpartNo
Authorized OfficialJoshua LipfordManager · (423) 895-8266
Enumeration DateMay 16, 2019
✔ NPI 1063078855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1114 E MAIN ST STE 4, Lebanon, VA 24266
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Other Identifiers 2

Medicaid1528039054VA
Medicaid1720016389VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2240183

Southwest Regional Counseling Services · Lebanon, VA
Active · expires Oct 17, 2027
CLIA Number49D2240183
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorAndrew Brown
Laboratory Phone(276) 883-5050
Laboratory LocationSouthwest Regional Counseling Services1114 E Main Street, Lebanon, VA 24266
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southwest Regional Counseling Service Inc's NPI number?

The NPI number for Southwest Regional Counseling Service Inc is 1063078855. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Southwest Regional Counseling Service Inc located?

Southwest Regional Counseling Service Inc is located at 1114 E Main St Ste 4, Lebanon, VA 24266. The listed phone number is (276) 883-5050.

What is Southwest Regional Counseling Service Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Southwest Regional Counseling Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2240183) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southwest Regional Counseling Service Inc was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.