| Associates In Brief Therapy, Inc. | |
|
4346 Starkey Rd Suite 1 Roanoke VA 24018-0605 | |
| (540) 772-8043 | |
| (540) 772-8242 |
| Full Name | Associates In Brief Therapy, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 4346 Starkey Rd, Roanoke, Virginia |
| Authorized Official Name and Position | David Linn Mortellaro (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5407728043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Brief Therapy, Inc. 4346 Starkey Rd Suite 1 Roanoke VA 24018-0605 Ph: (540) 772-8043 | Associates In Brief Therapy, Inc. 4346 Starkey Rd Suite 1 Roanoke VA 24018-0605 Ph: (540) 772-8043 |
| NPI Number | 1033286794 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 05/08/2009 |
| Medicare PECOS PAC ID | 3971654005 |
|---|---|
| Medicare Enrollment ID | O20090630000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033286794 | NPI | - | NPPES |
| 343112 | Other | SC | TRICARE HEALTHNET FEDERAL |
| 349980 | Other | MD | MAMSI |
| 285977 | Other | VA | ANTHEM BCBS |
| 297608000 | Other | MO | MAGELLAN HEALTH SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701001496 (Virginia) | Primary |
| Provider Name | Darnell T Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962486555 PECOS PAC ID: 7012067721 Enrollment ID: I20090617000673 |
| Provider Name | Margaret R Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629736541 PECOS PAC ID: 8628456282 Enrollment ID: I20220609002843 |
| Provider Name | Amy W Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013929033 PECOS PAC ID: 4981049269 Enrollment ID: I20240226003737 |
| Provider Name | Anil Ganga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194904375 PECOS PAC ID: 4486730074 Enrollment ID: I20240226004232 |
| Provider Name | Scott Chattin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174195002 PECOS PAC ID: 8820433592 Enrollment ID: I20240304003358 |
| Provider Name | Angela Faith Vaselaros |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629766159 PECOS PAC ID: 1658717145 Enrollment ID: I20240306003557 |
| Provider Name | Aaron J Reinhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518552959 PECOS PAC ID: 6507202009 Enrollment ID: I20240306003752 |
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