SOUTHWEST REGIONAL COUNSELING SERVICE INC
NPI 1063078855
Counselor - Addiction (Substance Use Disorder) in Lebanon, VA
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southwest Regional Counseling Service Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Southwest Regional Counseling Service Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Mountain Home, TN 37684
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, VAFrequently 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.
Is Southwest Regional Counseling Service Inc enrolled in Medicare?
Yes. Southwest Regional Counseling Service Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southwest Regional Counseling Service Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Southwest Regional Counseling Service Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Emergency Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Southwest Regional Counseling Service Inc · NPI 1063078855
Addiction (Substance Use Disorder) organization in Lebanon, Virginia. Organization record, active in the CMS NPPES registry since May 16, 2019.
## Identity
- **NPI:** 1063078855 (Entity type: Organization)
- **Enumerated:** May 16, 2019
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Organization subpart:** No
- **Authorized official:** Joshua Lipford, MANAGER
## Practice location
- **Address:** 1114 E MAIN ST STE 4, Lebanon, VA 24266-5014
- **Phone:** (276) 883-5050 · **Fax:** (276) 883-5998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Emergency Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2019
- **Other identifiers:** Medicaid 1528039054 (VA); Medicaid 1720016389 (VA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063078855) · Data from the CMS NPPES public registry.