DAVID SOUTHALL LPC
NPI 1245955731
Counselor - Professional in Roanoke, VA

Active since October 06, 2022PECOS EnrolledAccepts Medicare Assignment
3807 BRANDON AVE SW # 1115, ROANOKE, VA 24018(540) 342-1261 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Southall Lpc NPPES

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

DAVID SOUTHALL LPC (NPI 1245955731) is an individual professional provider in Roanoke, Virginia, licensed in Virginia (0701011817) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245955731
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID SOUTHALLCredential: LPC
Location Address3807 BRANDON AVE SW # 1115Roanoke, VA 24018-1490
Mailing Address3807 Brandon Ave Sw # 1115Roanoke, VA 24018-1490 · (540) 342-1261
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
NPI 1245955731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701011817
3807 BRANDON AVE SW # 1115, Roanoke, VA 24018

Secondary Practice Locations 2

Location 1930 Cambria St NEChristiansburg, VA 24073-1631 · Phone (540) 342-1261
Location 2401 N Jefferson StGalax, VA 24333-2858 · Phone (276) 601-2904

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David Southall Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123540804
PECOS Enrollment IDI20250322000138
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 David Southall's NPI number?

The NPI number for David Southall is 1245955731. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is David Southall located?

David Southall practices at 3807 Brandon Ave SW # 1115, Roanoke, VA 24018. The listed phone number is (540) 342-1261.

What is David Southall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Southall enrolled in Medicare?

Yes. David Southall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Southall was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.