| Mr Jason D O'brien, LPC, LMFT | |
|
3522 Webster Rd, Blue Ridge, VA 24064 | |
| (540) 977-6300 | |
| (540) 977-9523 |
| Full Name | Mr Jason D O'brien |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3522 Webster Rd, Blue Ridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851379432 | NPI | - | NPPES |
| 005415756 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0717000613 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701002529 (Virginia) | Primary |
| Entity Name | Botetourt Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265535611 PECOS PAC ID: 5799887642 Enrollment ID: O20070222000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason D O'brien, LPC, LMFT 3522 Webster Rd, Blue Ridge, VA 24064 Ph: (540) 977-6300 | Mr Jason D O'brien, LPC, LMFT 3522 Webster Rd, Blue Ridge, VA 24064 Ph: (540) 977-6300 |
Ashley Lucas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 790 Blue Ridge Dr, Blue Ridge, VA 24064 Phone: 540-816-3010 | |
Ms. Ellen Aiken, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3522 Webster Rd, Blue Ridge, VA 24064 Phone: 540-977-6300 Fax: 540-977-9523 | |
Mrs. Carrie Leigh Lanning, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3522 Webster Rd, Blue Ridge, VA 24064 Phone: 540-977-6300 Fax: 540-977-9523 | |
Mrs. Linda Morrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 568 Parkview Dr, Blue Ridge, VA 24064 Phone: 540-597-6927 | |
Nathalie Geraldine Perkins, COUNSELING RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3522 Webster Rd, Blue Ridge, VA 24064 Phone: 540-977-6300 | |
Abigail Erdman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3522 Webster Rd, Blue Ridge, VA 24064 Phone: 540-977-6300 | |
Mrs. Kimberly Piche Montgomery, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3522 Webster Rd, Blue Ridge, VA 24064 Phone: 540-977-6300 Fax: 540-977-9523 |