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DAVID MICHAEL CANADA JR. LCSW
NPI 1972940955
Counselor - Mental Health in Ashland, VA

Active since May 30, 2013PECOS EnrolledAccepts Medicare Assignment
12300 WASHINGTON HWY, ASHLAND, VA 23005(804) 365-4222(804) 365-4252 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About David Michael Canada Jr. Lcsw NPPES

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

DAVID MICHAEL CANADA JR. LCSW (NPI 1972940955) is an individual mental health provider in Ashland, Virginia, licensed in Virginia (0904008191) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2007).

NPPES Registry Identity

NPI1972940955
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID MICHAEL CANADA JR.Credential: LCSW
Location Address12300 WASHINGTON HWYAshland, VA 23005-7646
Mailing Address12300 Washington HwyAshland, VA 23005-7646 · (804) 365-4222 · Fax (804) 365-4252
Phone(804) 365-4222
Fax(804) 365-4252
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2007
Enumeration DateMay 30, 2013
✔ NPI 1972940955 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 · 0904008191
12300 WASHINGTON HWY, Ashland, VA 23005
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Michael Canada Jr. Lcsw 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 ID6103069182
PECOS Enrollment IDI20130822000077
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 David Canada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hanover County Board Of Supervisors
Same address
Mental Health
12300 WASHINGTON HWY
Ashland, VA 23005
  • Reassigned Medicare billing, Virginia enrollment
  • 39 clinicians in this Medicare group
NPI 1104858653 (804) 365-4222

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.

KATHY REDFEARN LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4230
MR. LARS W MESSERSCHMIDT LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4191
ALEXANDER ISAAC CARROLL LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4244
LINDSEY MORRIS SIMMERS LPC
Counselor (Professional)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
MS. KATHERINE PATRICK KETNER
Counselor (Professional)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
RUSSELL M. VEALS LCSW
Counselor (Mental Health)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
CARLEIGH VIOLET BODIN LCSW
Social Worker (Clinical)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222
HELEN ELIZABETH FORMAN
Counselor (Professional)
12300 WASHINGTON HWY
ASHLAND, VA 23005
Hanover County (804) 365-4222

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 Canada's NPI number?

The NPI number for David Canada is 1972940955. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is David Canada located?

David Canada practices at 12300 Washington Hwy, Ashland, VA 23005. The listed phone number is (804) 365-4222.

What is David Canada's specialty?

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

Is David Canada enrolled in Medicare?

Yes. David Canada 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.

Which organization bills Medicare for David Canada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Canada reassigns Medicare benefits to Hanover County Board Of Supervisors (Ashland, 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 David Canada'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 David Canada was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.