| Cacapon Counseling Services | |
|
320 S Cameron St Winchester VA 22601-4603 | |
| (845) 242-1084 | |
| Not Available |
| Full Name | Cacapon Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 320 S Cameron St, Winchester, Virginia |
| Authorized Official Name and Position | Kristy-ann Cook (CLINICIAN/OWNER) |
| Authorized Official Contact | 8452421084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cacapon Counseling Services 38 Cherokee Trl Berkeley Springs WV 25411-7371 Ph: () - | Cacapon Counseling Services 320 S Cameron St Winchester VA 22601-4603 Ph: (845) 242-1084 |
| NPI Number | 1467068122 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 9436524782 |
|---|---|
| Medicare Enrollment ID | O20230419000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467068122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kristy-ann Borgia Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225483233 PECOS PAC ID: 2668894445 Enrollment ID: I20200810002226 |
| Provider Name | Joseph Simons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912916016 PECOS PAC ID: 4183008808 Enrollment ID: I20220830002389 |
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