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: August 09, 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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Neonatal)
3300 RIVERMONT AVE, INTENSIVE CARE NURSERY
LYNCHBURG, VA 24503
Occupational Therapist (Neurorehabilitation)
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Nurse Practitioner (Acute Care)
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Physical Therapist
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Speech-Language Pathologist
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Psychiatric Unit
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Physical Therapy Assistant
3300 RIVERMONT AVE
LYNCHBURG, VA 24503
Social Worker (Clinical)
3300 RIVERMONT AVE, ATTN: PATHWAYS - BRIANNA TOLLEY
LYNCHBURG, VA 24503

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.

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.