| Mary Giencke, LPC | |
|
638 Independence Pkwy Ste 240, Chesapeake, VA 23320-5222 | |
| (757) 965-5886 | |
| Not Available |
| Full Name | Mary Giencke |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 638 Independence Pkwy Ste 240, Chesapeake, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366986259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701006852 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Counseling Center, Inc. | 8729091715 | 65 |
| Entity Name | Genesis Counseling Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164451399 PECOS PAC ID: 8729091715 Enrollment ID: O20060714000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Giencke, LPC 2202 Executive Dr Ste C, Hampton, VA 23666-6604 Ph: (757) 827-7707 | Mary Giencke, LPC 638 Independence Pkwy Ste 240, Chesapeake, VA 23320-5222 Ph: (757) 965-5886 |
Mrs. Mercedes Santos-bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Wildlife Trce, Chesapeake, VA 23320 Phone: 917-406-6763 | |
Ashley Marie Dyer, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2010 Old Greenbrier Rd Ste G, Chesapeake, VA 23320 Phone: 757-493-2912 Fax: 866-730-6583 | |
Clairese Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1524 Volvo Pkwy Ste B, Chesapeake, VA 23320 Phone: 757-404-5355 | |
Felicia Denise Dew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4512 S Military Hwy, Chesapeake, VA 23321 Phone: 757-955-9001 | |
Garris Ravae Osborne, M.S., LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2118 English Ave, Chesapeake, VA 23320 Phone: 757-918-5433 Fax: 757-918-5433 | |
Monique J Branch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Gateway Ct Apt 101, Chesapeake, VA 23320 Phone: 901-578-9807 | |
Nikita Tiffany Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Chaffins Ct, Chesapeake, VA 23322 Phone: 757-752-9221 Fax: 757-752-9221 |