MR. DAVID L MORTELLARO LPC LMFT NPI 1851375836

NPI Information

NPI: 1851375836
Provider Name: MR. DAVID L MORTELLARO, LPC, LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4656 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018
Phone: (540) 772-8043
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MR. David L Mortellaro, LPC, LMFT is a mental health counselor in Roanoke, VA. MR. David L Mortellaro, LPC, LMFT NPI is 1851375836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4656 BRAMBLETON AVE
ROANOKE, VA
ZIP 24018-437
Phone: (540) 772-8043
Fax: (540) 772-8242

The enumeration date for this NPI number is 12/2/2005 and was last updated on 10/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		0717000603	VIRGINIA	No
2	101YM0800X	Counselor	Mental Health	0701001496	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	018061	OTHER	VIRGINIA	VALUE OPTIONS
2	005400431	OTHER	VIRGINIA	VIRGINIA PREMIER (HMO)
3	349980	OTHER	VIRGINIA	MAMSI
4	69554	OTHER	VIRGINIA	CIGNA BEHAVIORAL HEALTH
5	285978	OTHER	VIRGINIA	ANTHEM BCBS
6	5675123	OTHER	VIRGINIA	AETNA
7	297608000	OTHER	VIRGINIA	MAGELLAN
8	087620	OTHER	VIRGINIA	SOUTHERN HEALTH/SENTARA
9	132303	OTHER	VIRGINIA	MANAGED HEALTH NETWORK
10	JOHN DEERE	OTHER	VIRGINIA	VA0101
11	005400431	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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