MEDICARE: MR. JAMES WILLIAM LA PRADE LPC, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701002356	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	085333M	OTHER	VA	SENTARA
2	180188	OTHER	VA	ANTHEM

General Provider Information

NPI Number	:	1255369773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES WILLIAM LA PRADE LPC, LMFT

Provider Business Mailing Address
First Line	:	4705 SYLVAN RD
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3141
Country	:	US
Telephone Number	:	804-233-3468
Fax Number	:	804-863-1287

Provider Business Practice Location Address
First Line	:	6610 COMMONS DR
Second Line	:
City	:	PRINCE GEORGE
State	:	VA
Zip	:	23875-2528
Country	:	US
Telephone Number	:	804-861-0393
Fax Number	:	804-863-1287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	05/10/2026

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