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JACOB WEATHERHOLTZ LPC, CAADC
NPI 1447092796
Counselor - Professional in Lynchburg, VA

Active since June 08, 2024PECOS Enrolled
3300 RIVERMONT AVE, LYNCHBURG, VA 24503(434) 200-6532 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Weatherholtz Lpc, Caadc NPPES

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

JACOB WEATHERHOLTZ LPC, CAADC (NPI 1447092796) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701013608) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Forest.

NPPES Registry Identity

NPI1447092796
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB WEATHERHOLTZCredential: LPC, CAADC
Location Address3300 RIVERMONT AVELynchburg, VA 24503-2030
Mailing Address542 Leesville Rd Apt 115Lynchburg, VA 24502-2351 · (434) 200-6532
Phone(434) 200-6532
Sole ProprietorNo
Enumeration DateJune 8, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1447092796 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 · 0701013608
3300 RIVERMONT AVE, Lynchburg, VA 24503
Open in Google Maps ↗

Secondary Practice Location 1

Location 11047 Vista Park Dr Ste AForest, VA 24551-4362 · Phone (434) 616-2388

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Weatherholtz Lpc, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Weatherholtz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
150 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE GUNN TURNER NURSE PRACTITIONER
Nurse Practitioner (Neonatal)
3300 RIVERMONT AVE, INTENSIVE CARE NURSERY
LYNCHBURG, VA 24503
Bedford County (434) 200-5735
MRS. AMANDA BARBARA ANTHONY MS, OTR/L
Occupational Therapist (Neurorehabilitation)
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4668
MAGEN CALLAND
Nurse Practitioner (Acute Care)
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4651
KELSEY T WOOD DPT
Physical Therapist
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4668
EMILY ANNE BOURNE M.S. CC-SLP
Speech-Language Pathologist
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-3000
CENTRA HEALTH INC
Psychiatric Unit
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 947-3777
AMBER DOLLARHITE LPTA
Physical Therapy Assistant
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Bedford County (434) 200-4668
BRIANNA TOLLEY
Social Worker (Clinical)
3300 RIVERMONT AVE, ATTN: PATHWAYS - BRIANNA TOLLEY
LYNCHBURG, VA 24503
Bedford County (434) 200-4455

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 Jacob Weatherholtz's NPI number?

The NPI number for Jacob Weatherholtz is 1447092796. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Jacob Weatherholtz located?

Jacob Weatherholtz practices at 3300 Rivermont Ave, Lynchburg, VA 24503. The listed phone number is (434) 200-6532.

What is Jacob Weatherholtz's specialty?

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

Is Jacob Weatherholtz enrolled in Medicare?

Yes. Jacob Weatherholtz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Weatherholtz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Weatherholtz reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The 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 Jacob Weatherholtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Weatherholtz was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.