Provider Demographics
NPI:1669484325
Name:PIROOZ, JANE C (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:C
Last Name:PIROOZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 CANTRELL AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3248
Mailing Address - Country:US
Mailing Address - Phone:540-564-5960
Mailing Address - Fax:540-433-4338
Practice Address - Street 1:752 OTT ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3214
Practice Address - Country:US
Practice Address - Phone:540-564-5960
Practice Address - Fax:540-433-4338
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010142440Medicaid
VA000662OtherVALUE OPTIONS
VA175521OtherANTHEM PROVIDER NUMBER
VA1164637518OtherGROUP NPI NUMBER
VA2222600OtherCIGNA PROVIDER NUMBER
VA085544MOtherSENTARA PROVIDER NUMBER
VA11527091OtherCAQH PROVIDER NUMBER
VA244585OtherCOMPSYCH PROVIDER NUMBER
VAC05754OtherMEDICARE GROUP NUMBER