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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. THEO A PETROCCI LPC
NPI 1922003458
Counselor - Mental Health in Roanoke, VA

Active since June 21, 2005
16 WALNUT AVE SW, ROANOKE, VA 24016(540) 345-6468(540) 345-3204 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Mar 29, 2016 (2 updates tracked since 2016).

About Mr. Theo A Petrocci Lpc NPPES

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

MR. THEO A PETROCCI LPC (NPI 1922003458) is an individual mental health provider in Roanoke, Virginia, licensed in Virginia (0701000926) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1922003458
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THEO A PETROCCICredential: LPC
Location Address16 WALNUT AVE SWRoanoke, VA 24016-4719
Mailing Address3500 Grove Ave, Ste 102Richmond, VA 23221-2220 · (804) 822-0271 · Fax (804) 353-3939
Phone(540) 345-6468
Fax(540) 345-3204
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1922003458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701000926
16 WALNUT AVE SW, Roanoke, VA 24016
Open in Google Maps ↗

Other Identifiers 1

Medicaid005401437VA

Other Providers at the Same Location NPPES 12

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

MRS. PATRICIA MOSELEY NASH LCSW
Social Worker (Clinical)
16 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468
VARSHA J. DESAI M.D.
Pediatrics
16 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468
NEIL L. MOSER, LCSW,LLC
Social Worker (Clinical)
16 WALNUT AVE SW, 16 WALNUT AVENUE
ROANOKE, VA 24016
Roanoke City (540) 580-1807
JORDANA MARIE ANDERSON LCSW
Social Worker (Clinical)
16 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468
PUJA GANJWALA
Nurse Practitioner (Family)
16 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468
MS. SARAH NELL RODES PA-C
Physician Assistant
16 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468
SUSAN REBECCA ALBANOWSKI PA-C
Physician Assistant (Medical)
16 WALNUT AVE SW, SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468
WALNUT AVENUE ASSOCIATES PC
Psychiatry & Neurology (Addiction Psychiatry)
16 WALNUT AVE SW
ROANOKE, VA 24016
Roanoke City (540) 345-6468

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 Theo Petrocci's NPI number?

The NPI number for Theo Petrocci is 1922003458. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Theo Petrocci located?

Theo Petrocci practices at 16 Walnut Ave SW, Roanoke, VA 24016. The listed phone number is (540) 345-6468.

What is Theo Petrocci's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Theo Petrocci was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.