| Columbia Associates in Psychiatry PC | |
|
2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 | |
| (703) 841-1290 | |
| (703) 841-1315 |
| Full Name | Columbia Associates in Psychiatry PC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2501 N Glebe Rd, Arlington, Virginia |
| Authorized Official Name and Position | Gary Spivack (OWNER) |
| Authorized Official Contact | 7038411290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Associates in Psychiatry PC 2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 Ph: (703) 841-1290 | Columbia Associates in Psychiatry PC 2501 N Glebe Rd Suite 303 Arlington VA 22207-3558 Ph: (703) 841-1290 |
| NPI Number | 1699012930 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 12/22/2025 |
| Certification Date | 12/22/2025 |
| Medicare PECOS PAC ID | 7113165739 |
|---|---|
| Medicare Enrollment ID | O20130521000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699012930 | NPI | - | NPPES |
| Provider Name | Beverly a Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235145343 PECOS PAC ID: 8325021454 Enrollment ID: I20040610000444 |
| Provider Name | Todd R Christiansen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174542963 PECOS PAC ID: 0042245037 Enrollment ID: I20050928000913 |
| Provider Name | Derwin Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952403115 PECOS PAC ID: 6507868619 Enrollment ID: I20070202000112 |
| Provider Name | Claudia Barrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487741468 PECOS PAC ID: 9335284975 Enrollment ID: I20100306000154 |
| Provider Name | Elizabeth R S Christenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578899399 PECOS PAC ID: 2163551029 Enrollment ID: I20100602000636 |
| Provider Name | Gary Robert Spivack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457362576 PECOS PAC ID: 2769660802 Enrollment ID: I20110621000060 |
| Provider Name | Caroline B Ahlers-burge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073765822 PECOS PAC ID: 7517131998 Enrollment ID: I20111121000737 |
| Provider Name | Miriam Hojjat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124341888 PECOS PAC ID: 0345483053 Enrollment ID: I20130828000641 |
| Provider Name | Chideha Ohuoha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548292808 PECOS PAC ID: 7315832326 Enrollment ID: I20140829000040 |
| Provider Name | Christina Rinderle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093055477 PECOS PAC ID: 5991924441 Enrollment ID: I20140915001536 |
| Provider Name | Dana D Mohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427496496 PECOS PAC ID: 8729221122 Enrollment ID: I20150211001396 |
| Provider Name | Lakeia S Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417325077 PECOS PAC ID: 4183924210 Enrollment ID: I20151123000326 |
| Provider Name | Dominique Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700255726 PECOS PAC ID: 5597068379 Enrollment ID: I20160128001533 |
| Provider Name | Antoinette Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215014659 PECOS PAC ID: 0547203721 Enrollment ID: I20160201000256 |
| Provider Name | Christine Pletkova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831108885 PECOS PAC ID: 9739102070 Enrollment ID: I20160729000093 |
| Provider Name | Linda Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831432038 PECOS PAC ID: 9234435827 Enrollment ID: I20160824002459 |
| Provider Name | Shanique Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699126276 PECOS PAC ID: 6305134743 Enrollment ID: I20161018000884 |
| Provider Name | Ifeanyi Olele |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194132407 PECOS PAC ID: 9133412794 Enrollment ID: I20170802000651 |
| Provider Name | Roseline L Mordi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265643514 PECOS PAC ID: 4284908369 Enrollment ID: I20170928001704 |
| Provider Name | Robin Sparer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649560608 PECOS PAC ID: 9537424015 Enrollment ID: I20180604002743 |
| Provider Name | Diana Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790262392 PECOS PAC ID: 4082963525 Enrollment ID: I20180816002925 |
| Provider Name | Christabel Lartey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962762237 PECOS PAC ID: 4688928484 Enrollment ID: I20181114001843 |
| Provider Name | Sydonie Bongam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881169415 PECOS PAC ID: 9638080252 Enrollment ID: I20190219000021 |
| Provider Name | Edmond Rostand Nsheuko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447732441 PECOS PAC ID: 2163760067 Enrollment ID: I20190220000350 |
| Provider Name | Matthew Salmon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447670443 PECOS PAC ID: 7618218256 Enrollment ID: I20190409002455 |
| Provider Name | Pegah Barker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104381060 PECOS PAC ID: 7315288578 Enrollment ID: I20190416002726 |
| Provider Name | Samina Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154385391 PECOS PAC ID: 4385769769 Enrollment ID: I20200108000016 |
| Provider Name | Adrielly Macias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629455241 PECOS PAC ID: 6608209945 Enrollment ID: I20200117001009 |
| Provider Name | Shirley Berry-yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346252848 PECOS PAC ID: 8527480813 Enrollment ID: I20200629003190 |
| Provider Name | Gloria Osuruaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215391677 PECOS PAC ID: 8921428368 Enrollment ID: I20201023000411 |
| Provider Name | Catherine N Ben-agu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801402508 PECOS PAC ID: 8820408891 Enrollment ID: I20201103000037 |
| Provider Name | Casteen Delaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447671813 PECOS PAC ID: 4981018082 Enrollment ID: I20210202000353 |
| Provider Name | Bhagwan Bahroo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447355417 PECOS PAC ID: 8325270473 Enrollment ID: I20210203000068 |
| Provider Name | Mary Tarawalie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528614245 PECOS PAC ID: 1951718386 Enrollment ID: I20210331000016 |
| Provider Name | Zelma Sciaudone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528520467 PECOS PAC ID: 6507260809 Enrollment ID: I20210809003408 |
| Provider Name | Krupa Nataraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720511272 PECOS PAC ID: 7719382670 Enrollment ID: I20210816004067 |
| Provider Name | Matthew Widmeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811450703 PECOS PAC ID: 1355753922 Enrollment ID: I20211004001159 |
| Provider Name | Mara K Bayewitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881233831 PECOS PAC ID: 0941699730 Enrollment ID: I20211123000645 |
| Provider Name | Zoe Carter-woodbridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871921452 PECOS PAC ID: 6406245216 Enrollment ID: I20211123002812 |
| Provider Name | Tsige Alemu Woldemichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285306951 PECOS PAC ID: 4880083369 Enrollment ID: I20211124001402 |
| Provider Name | Bose Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043882533 PECOS PAC ID: 8325430580 Enrollment ID: I20220120000110 |
| Provider Name | Althea I Miller-umar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134885007 PECOS PAC ID: 8224421532 Enrollment ID: I20220209002106 |
| Provider Name | Judith Baggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891460549 PECOS PAC ID: 3274927892 Enrollment ID: I20220224002712 |
| Provider Name | Kasie Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114306719 PECOS PAC ID: 2365836616 Enrollment ID: I20220302000898 |
| Provider Name | Felicia Aboagye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450412 PECOS PAC ID: 8628479128 Enrollment ID: I20220309001361 |
| Provider Name | Ngozi B Amadi-obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437799582 PECOS PAC ID: 4082009014 Enrollment ID: I20220309002717 |
| Provider Name | Jeannette Latoya Murdaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649784893 PECOS PAC ID: 8628463650 Enrollment ID: I20220309002793 |
| Provider Name | Seth Eiland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588144604 PECOS PAC ID: 8325388507 Enrollment ID: I20220321000135 |
| Provider Name | Elia Tessera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013682681 PECOS PAC ID: 8628463122 Enrollment ID: I20220321000504 |
| Provider Name | Laura Michelle Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528354750 PECOS PAC ID: 4183019524 Enrollment ID: I20220321002389 |
| Provider Name | Ali Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619918562 PECOS PAC ID: 9436161395 Enrollment ID: I20220322001103 |
| Provider Name | Kelsey Skiljan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851855241 PECOS PAC ID: 4284029604 Enrollment ID: I20220322002912 |
| Provider Name | Paul Ruberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801438536 PECOS PAC ID: 3476948746 Enrollment ID: I20220323001799 |
| Provider Name | Casie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144973066 PECOS PAC ID: 7719372994 Enrollment ID: I20220325000874 |
| Provider Name | Coleen Harbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114591690 PECOS PAC ID: 1153717152 Enrollment ID: I20220330002492 |
| Provider Name | Peace O Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043965247 PECOS PAC ID: 5496141376 Enrollment ID: I20220331002584 |
| Provider Name | Teras G. Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245838945 PECOS PAC ID: 0446647655 Enrollment ID: I20220418001269 |
| Provider Name | Rhea S Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215597232 PECOS PAC ID: 7113314956 Enrollment ID: I20220427000041 |
| Provider Name | Cody Eccard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053829796 PECOS PAC ID: 6305106196 Enrollment ID: I20220503002074 |
| Provider Name | Wendy Sittner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861742835 PECOS PAC ID: 2961899331 Enrollment ID: I20220504000576 |
| Provider Name | Sana Kamal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811237324 PECOS PAC ID: 6204191315 Enrollment ID: I20220504001413 |
| Provider Name | Veronique Kom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255092698 PECOS PAC ID: 9739566043 Enrollment ID: I20220506000053 |
| Provider Name | Yasmin Undeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505073 PECOS PAC ID: 0042697617 Enrollment ID: I20220520000239 |
| Provider Name | Mohammad a Ghairatmal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679824239 PECOS PAC ID: 2567758972 Enrollment ID: I20220622000439 |
| Provider Name | Lesley Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063581742 PECOS PAC ID: 1658401955 Enrollment ID: I20220625000313 |
| Provider Name | Anne Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801351978 PECOS PAC ID: 8123367596 Enrollment ID: I20220627002401 |
| Provider Name | Christel Joel Tajouoh Daghuie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346721347 PECOS PAC ID: 5698159481 Enrollment ID: I20220828000098 |
| Provider Name | Sahar Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811358476 PECOS PAC ID: 8325385552 Enrollment ID: I20220909000167 |
| Provider Name | Rebecca Kubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710535711 PECOS PAC ID: 8123403680 Enrollment ID: I20221011000597 |
| Provider Name | Shannon Landrith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336797281 PECOS PAC ID: 6406226448 Enrollment ID: I20230109000147 |
| Provider Name | Kenesha Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932682481 PECOS PAC ID: 9032594650 Enrollment ID: I20230123001766 |
| Provider Name | Jessica Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013617828 PECOS PAC ID: 4587038955 Enrollment ID: I20230411000301 |
| Provider Name | Gbemisola Victoria Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588244255 PECOS PAC ID: 7113397001 Enrollment ID: I20230522000008 |
| Provider Name | Yufei Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609106988 PECOS PAC ID: 1951767664 Enrollment ID: I20230523001969 |
| Provider Name | Jessica Marie Del Rossi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043983026 PECOS PAC ID: 3274991484 Enrollment ID: I20230621003138 |
| Provider Name | Rashid Jalloh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306109996 PECOS PAC ID: 1557724572 Enrollment ID: I20230823004327 |
| Provider Name | Augustine Ahenkorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118182 PECOS PAC ID: 5597119800 Enrollment ID: I20230920002238 |
| Provider Name | Leila Kandahari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720548738 PECOS PAC ID: 1658725460 Enrollment ID: I20230927004369 |
| Provider Name | Brenda Bandong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669150363 PECOS PAC ID: 4486017928 Enrollment ID: I20230929000093 |
| Provider Name | Sheherazade Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831877299 PECOS PAC ID: 4880048495 Enrollment ID: I20231002002402 |
| Provider Name | Maureen Diezman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598541856 PECOS PAC ID: 8820443989 Enrollment ID: I20231010000023 |
| Provider Name | Whitney Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477143089 PECOS PAC ID: 4587019492 Enrollment ID: I20231012003109 |
| Provider Name | April Williams Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962507525 PECOS PAC ID: 5698122927 Enrollment ID: I20231108002250 |
| Provider Name | David Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073169660 PECOS PAC ID: 3476900317 Enrollment ID: I20231115002353 |
| Provider Name | Jennifer Street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710475694 PECOS PAC ID: 1557715729 Enrollment ID: I20231118000047 |
| Provider Name | Marc Levender |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912698507 PECOS PAC ID: 3274996814 Enrollment ID: I20231118000316 |
| Provider Name | Dionna Casey Steeple |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003312190 PECOS PAC ID: 6608225479 Enrollment ID: I20231206001418 |
| Provider Name | Fatmata Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457716847 PECOS PAC ID: 1658720305 Enrollment ID: I20231207000697 |
| Provider Name | Doris U Iwuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073228151 PECOS PAC ID: 6305295858 Enrollment ID: I20231211000490 |
| Provider Name | Tackya Hoilett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922770239 PECOS PAC ID: 3072962414 Enrollment ID: I20231212000155 |
| Provider Name | Niah Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881288413 PECOS PAC ID: 1658728381 Enrollment ID: I20240104003575 |
| Provider Name | Israil Steen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487127056 PECOS PAC ID: 6709264922 Enrollment ID: I20240109000021 |
| Provider Name | Tranesha Christie-nance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912552332 PECOS PAC ID: 6800247156 Enrollment ID: I20240110004907 |
| Provider Name | Stephanie C Anya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134683493 PECOS PAC ID: 0941652713 Enrollment ID: I20240117001793 |
| Provider Name | Nikia Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508339334 PECOS PAC ID: 4981056561 Enrollment ID: I20240118004453 |
| Provider Name | Irene Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417512252 PECOS PAC ID: 3870926967 Enrollment ID: I20240119000867 |
| Provider Name | Brittany Nicole Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952188815 PECOS PAC ID: 6204282783 Enrollment ID: I20240122000058 |
| Provider Name | Deana Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508303686 PECOS PAC ID: 3375803661 Enrollment ID: I20240201000208 |
| Provider Name | Shelby Rucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568235190 PECOS PAC ID: 6507219813 Enrollment ID: I20240201003908 |
| Provider Name | Jacqualine Margaret Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427705003 PECOS PAC ID: 4688018864 Enrollment ID: I20240215001541 |
| Provider Name | Elaine Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033982210 PECOS PAC ID: 6002266632 Enrollment ID: I20240219003857 |
| Provider Name | William C Kapfer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003529983 PECOS PAC ID: 9739523572 Enrollment ID: I20240220002121 |
| Provider Name | Andy Morales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629730858 PECOS PAC ID: 8729423215 Enrollment ID: I20240223002466 |
| Provider Name | Bryonna Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265175202 PECOS PAC ID: 0446605380 Enrollment ID: I20240223003160 |
| Provider Name | Arleen Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093432197 PECOS PAC ID: 1153766167 Enrollment ID: I20240229002911 |
| Provider Name | Emily Augusta Latimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306206552 PECOS PAC ID: 4789029448 Enrollment ID: I20240304003141 |
| Provider Name | Kristina Lavawn Barker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568968816 PECOS PAC ID: 2163869025 Enrollment ID: I20240327001950 |
| Provider Name | Elizabeth Rodgers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528639226 PECOS PAC ID: 6901243757 Enrollment ID: I20240328001546 |
| Provider Name | Niloofar Kiankhooyfard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700304953 PECOS PAC ID: 5496193237 Enrollment ID: I20240329001081 |
| Provider Name | Leah Mcgown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245656453 PECOS PAC ID: 6709224918 Enrollment ID: I20240409000057 |
| Provider Name | Anne E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396221420 PECOS PAC ID: 4284072257 Enrollment ID: I20240410000533 |
| Provider Name | Caitlyn Nicholas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053079277 PECOS PAC ID: 9739528308 Enrollment ID: I20240416000125 |
| Provider Name | Rebecca Morrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639957301 PECOS PAC ID: 3678912623 Enrollment ID: I20240429002625 |
| Provider Name | Meghan Linehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538803135 PECOS PAC ID: 0749637411 Enrollment ID: I20240521004110 |
| Provider Name | Merrill Groff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578101358 PECOS PAC ID: 2365884327 Enrollment ID: I20240523000066 |
| Provider Name | Nancy Jean Podbesek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871289439 PECOS PAC ID: 9335581636 Enrollment ID: I20240531000017 |
| Provider Name | Alexis Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982026910 PECOS PAC ID: 6204378599 Enrollment ID: I20240601000013 |
| Provider Name | Jasmine Washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467091314 PECOS PAC ID: 0749724425 Enrollment ID: I20240705001416 |
| Provider Name | Sam Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881986198 PECOS PAC ID: 9739525650 Enrollment ID: I20240713000005 |
| Provider Name | Folasade Adebayo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386488435 PECOS PAC ID: 8628513330 Enrollment ID: I20240717001528 |
| Provider Name | Marcia Friend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821735820 PECOS PAC ID: 3375765217 Enrollment ID: I20240718001700 |
| Provider Name | Lee Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588320550 PECOS PAC ID: 1052857448 Enrollment ID: I20240722002541 |
| Provider Name | Morris Vatz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609131069 PECOS PAC ID: 5799221065 Enrollment ID: I20240723001385 |
| Provider Name | Oluwatoyin Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619741279 PECOS PAC ID: 3870941057 Enrollment ID: I20240724004516 |
| Provider Name | Madeline E Kinkoph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235823790 PECOS PAC ID: 7911361423 Enrollment ID: I20240725001373 |
| Provider Name | Alexa Gitlitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639918014 PECOS PAC ID: 8820535420 Enrollment ID: I20240731003589 |
| Provider Name | Evelyn Lieb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952087413 PECOS PAC ID: 1658819511 Enrollment ID: I20240812000089 |
| Provider Name | Zena B Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548597214 PECOS PAC ID: 0345380580 Enrollment ID: I20240819002835 |
| Provider Name | Kristen Looman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205400439 PECOS PAC ID: 8527456078 Enrollment ID: I20240909000087 |
| Provider Name | Coral Beccles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063279545 PECOS PAC ID: 6507306230 Enrollment ID: I20240909004673 |
| Provider Name | Madeline Elaine Lodeiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053931030 PECOS PAC ID: 3173063468 Enrollment ID: I20240913000508 |
| Provider Name | Emma Silvio-eagling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513729 PECOS PAC ID: 8325589757 Enrollment ID: I20240925001117 |
| Provider Name | Angelica Tyree |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780227165 PECOS PAC ID: 7719428028 Enrollment ID: I20240925004630 |
| Provider Name | Karin M Escalante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811122286 PECOS PAC ID: 2264846070 Enrollment ID: I20240926001314 |
| Provider Name | May Ejiro Omoijuanfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114796729 PECOS PAC ID: 2567904857 Enrollment ID: I20241031001077 |
| Provider Name | Ashley Marinelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578141479 PECOS PAC ID: 4385094804 Enrollment ID: I20241115003223 |
| Provider Name | Verna Rebecca Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457110348 PECOS PAC ID: 3072048313 Enrollment ID: I20241125000501 |
| Provider Name | Monique Woodby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932739018 PECOS PAC ID: 3971038134 Enrollment ID: I20241125001667 |
| Provider Name | Ryan Wakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20241212003702 |
| Provider Name | Evelyn Tommie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487602892 PECOS PAC ID: 2365885720 Enrollment ID: I20241220002484 |
| Provider Name | Michele Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972213221 PECOS PAC ID: 7012367089 Enrollment ID: I20241227000328 |
| Provider Name | Kalena Blackman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023732187 PECOS PAC ID: 1557898848 Enrollment ID: I20241227001373 |
| Provider Name | Abigail F Vandivier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538935689 PECOS PAC ID: 1658809512 Enrollment ID: I20250107000731 |
| Provider Name | Kalkidan Ayalew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275306045 PECOS PAC ID: 1052849882 Enrollment ID: I20250108000480 |
| Provider Name | Kristen Sesker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316416910 PECOS PAC ID: 7012325194 Enrollment ID: I20250108000539 |
| Provider Name | Piyush Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164413159 PECOS PAC ID: 0042115404 Enrollment ID: I20250110000376 |
| Provider Name | Mckenna Hundley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952164931 PECOS PAC ID: 0941644942 Enrollment ID: I20250110000614 |
| Provider Name | Patricia Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720692874 PECOS PAC ID: 0143631077 Enrollment ID: I20250113002556 |
| Provider Name | Lianne N Rijos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972258663 PECOS PAC ID: 5597298794 Enrollment ID: I20250115001614 |
| Provider Name | Shirlene Anita Littlejohn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053861104 PECOS PAC ID: 4587192695 Enrollment ID: I20250116001424 |
| Provider Name | Shavonne Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336855535 PECOS PAC ID: 0143759753 Enrollment ID: I20250128001945 |
| Provider Name | Shelby Atchley Grant-workman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396338505 PECOS PAC ID: 6901335348 Enrollment ID: I20250129002861 |
| Provider Name | Wooni F Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477243756 PECOS PAC ID: 2769911981 Enrollment ID: I20250131002942 |
| Provider Name | Michael C James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568169704 PECOS PAC ID: 6709316243 Enrollment ID: I20250212002901 |
| Provider Name | Emelia Agyei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629776224 PECOS PAC ID: 6507398674 Enrollment ID: I20250218003320 |
| Provider Name | Elleni Abayneh Woldeamanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982484051 PECOS PAC ID: 9537694062 Enrollment ID: I20250220000694 |
| Provider Name | Patty R. Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679042790 PECOS PAC ID: 2769903830 Enrollment ID: I20250305003085 |
| Provider Name | Romeo Fotso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134898281 PECOS PAC ID: 7012438849 Enrollment ID: I20250310000268 |
| Provider Name | Tiffany Millner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992268528 PECOS PAC ID: 1153842695 Enrollment ID: I20250312003906 |
| Provider Name | Matthew Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578378840 PECOS PAC ID: 6608398748 Enrollment ID: I20250319000344 |
| Provider Name | Candace M Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548942717 PECOS PAC ID: 3779005582 Enrollment ID: I20250321001348 |
| Provider Name | Zulma Y Salmeron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003370289 PECOS PAC ID: 2961925433 Enrollment ID: I20250326001213 |
| Provider Name | Danielle Branche |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063877827 PECOS PAC ID: 3577087113 Enrollment ID: I20250404001792 |
| Provider Name | Kingsley Odimegwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114763380 PECOS PAC ID: 4486184355 Enrollment ID: I20250404002178 |
| Provider Name | Naomi Weller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740301811 PECOS PAC ID: 7517125586 Enrollment ID: I20250409003074 |
| Provider Name | Katumu Pettiquoi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508022831 PECOS PAC ID: 7315461407 Enrollment ID: I20250410001087 |
| Provider Name | Meaghan Auchincloss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609480235 PECOS PAC ID: 6406370592 Enrollment ID: I20250410001681 |
| Provider Name | Osita Mgbendi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639855299 PECOS PAC ID: 3971036195 Enrollment ID: I20250414003436 |
| Provider Name | Peggy Laraine Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104400431 PECOS PAC ID: 8426573312 Enrollment ID: I20250423002628 |
| Provider Name | Rosa Bangura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760146906 PECOS PAC ID: 5092232751 Enrollment ID: I20250506002194 |
| Provider Name | Nia Burley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831604297 PECOS PAC ID: 8628595303 Enrollment ID: I20250506002534 |
| Provider Name | Aaron Davidoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265207815 PECOS PAC ID: 7911350715 Enrollment ID: I20250507000082 |
| Provider Name | Ernest Massalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336859610 PECOS PAC ID: 1254858616 Enrollment ID: I20250508001966 |
| Provider Name | Aislynn Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891457610 PECOS PAC ID: 9739606054 Enrollment ID: I20250509000336 |
| Provider Name | Monsuru Olufemi Akinyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275550 PECOS PAC ID: 1759792781 Enrollment ID: I20250513000886 |
| Provider Name | Brielle Pedrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962180232 PECOS PAC ID: 7517484728 Enrollment ID: I20250513001410 |
| Provider Name | Dwain D Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396896247 PECOS PAC ID: 2264975150 Enrollment ID: I20250514001105 |
| Provider Name | Cheyenne Chhim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982404414 PECOS PAC ID: 9537687322 Enrollment ID: I20250515001654 |
| Provider Name | Mohammad Azlan Baig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821618117 PECOS PAC ID: 6800315987 Enrollment ID: I20250521002977 |
| Provider Name | Jaime Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679344246 PECOS PAC ID: 2264968767 Enrollment ID: I20250522002598 |
| Provider Name | Patrick Mwaura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649967209 PECOS PAC ID: 9032563622 Enrollment ID: I20250528001362 |
| Provider Name | Augustina Agaruwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376119024 PECOS PAC ID: 4587062328 Enrollment ID: I20250530002577 |
| Provider Name | Tristan Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548044761 PECOS PAC ID: 7719496280 Enrollment ID: I20250605000182 |
| Provider Name | Tracey Ellen Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407514581 PECOS PAC ID: 2365951852 Enrollment ID: I20250605000653 |
| Provider Name | Craig Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174312367 PECOS PAC ID: 7517477243 Enrollment ID: I20250611000746 |
| Provider Name | Sara Samson Drake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932817137 PECOS PAC ID: 5395255954 Enrollment ID: I20250611003545 |
| Provider Name | Anthony Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255128120 PECOS PAC ID: 8325558802 Enrollment ID: I20250612002170 |
| Provider Name | Thomas Nolan Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861849457 PECOS PAC ID: 8729507660 Enrollment ID: I20250617001377 |
| Provider Name | Kenya Dickens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326665753 PECOS PAC ID: 5193245041 Enrollment ID: I20250701003621 |
| Provider Name | Marquita Antoinette Johns |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568037117 PECOS PAC ID: 9234642018 Enrollment ID: I20250703001639 |
| Provider Name | Cherrica Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161626 PECOS PAC ID: 2264888700 Enrollment ID: I20250718001387 |
| Provider Name | Ademola Bisiriyu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649955139 PECOS PAC ID: 5991214637 Enrollment ID: I20250724004379 |
| Provider Name | Wendy Usher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386303659 PECOS PAC ID: 2163950205 Enrollment ID: I20250805002238 |
| Provider Name | Keshia Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386728319 PECOS PAC ID: 2860684214 Enrollment ID: I20250805003854 |
| Provider Name | Flordeliza Herring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114547221 PECOS PAC ID: 2961881974 Enrollment ID: I20250812000717 |
| Provider Name | Don Strehler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093394066 PECOS PAC ID: 0446651541 Enrollment ID: I20250813004329 |
| Provider Name | Judith M Slowey-brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689252652 PECOS PAC ID: 5597264838 Enrollment ID: I20250814004153 |
| Provider Name | Whitney S Brownhallsmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720787021 PECOS PAC ID: 9133628688 Enrollment ID: I20250820001790 |
| Provider Name | Chika Akaluso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578205654 PECOS PAC ID: 1153844766 Enrollment ID: I20250820004662 |
| Provider Name | Yashar Fard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649746272 PECOS PAC ID: 0345665352 Enrollment ID: I20250827000785 |
| Provider Name | Naina Shahi-virk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164313953 PECOS PAC ID: 4183125990 Enrollment ID: I20250902002326 |
| Provider Name | Andrea Therrien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205556644 PECOS PAC ID: 1456854058 Enrollment ID: I20250910003438 |
| Provider Name | Karlye Lynne Kolb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871489195 PECOS PAC ID: 3173026762 Enrollment ID: I20250910004148 |
| Provider Name | Unique Outlaw-jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861964967 PECOS PAC ID: 1456853076 Enrollment ID: I20250915003079 |
| Provider Name | William Zakee Mcgill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285682682 PECOS PAC ID: 0749227940 Enrollment ID: I20251002002921 |
| Provider Name | Valincia Borders |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689328007 PECOS PAC ID: 8628572427 Enrollment ID: I20251006002465 |
| Provider Name | Rebecca Beckwith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356214639 PECOS PAC ID: 0143718502 Enrollment ID: I20251020000010 |
| Provider Name | Anansa Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710873765 PECOS PAC ID: 5597255133 Enrollment ID: I20251103003722 |
| Provider Name | Andrew John Marsella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710520085 PECOS PAC ID: 4789073149 Enrollment ID: I20251113003402 |
| Provider Name | Naomi Nesse Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699460246 PECOS PAC ID: 4082106521 Enrollment ID: I20251122000518 |
| Provider Name | Beth Anne Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114534716 PECOS PAC ID: 2466944830 Enrollment ID: I20251124000126 |
| Provider Name | Ashley Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073079695 PECOS PAC ID: 4284164799 Enrollment ID: I20251124003972 |
| Provider Name | Diana Yi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780570226 PECOS PAC ID: 9032601257 Enrollment ID: I20251125002499 |
| Provider Name | Lauren Channel Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467222372 PECOS PAC ID: 6800389529 Enrollment ID: I20251202001891 |
| Provider Name | Ann Desjardins-feldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801682448 PECOS PAC ID: 3577056944 Enrollment ID: I20251203003873 |
| Provider Name | Michelle D Farquhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114636982 PECOS PAC ID: 3274026281 Enrollment ID: I20251208000034 |
| Provider Name | Ashley Sumner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043712607 PECOS PAC ID: 4183118904 Enrollment ID: I20251209004663 |
| Provider Name | Erin Baer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245030949 PECOS PAC ID: 3375037740 Enrollment ID: I20251212000886 |
| Provider Name | Ima Paz Strother |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356973069 PECOS PAC ID: 6002300324 Enrollment ID: I20251212003346 |
| Provider Name | Amber Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003509746 PECOS PAC ID: 7012403751 Enrollment ID: I20251231002852 |
| Provider Name | Rylee Zimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205693686 PECOS PAC ID: 5799261731 Enrollment ID: I20260109001338 |
| Provider Name | Taylor Noem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487344404 PECOS PAC ID: 9638655574 Enrollment ID: I20260112000137 |
| Provider Name | Michelle Sosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063372175 PECOS PAC ID: 8426536988 Enrollment ID: I20260128000272 |
| Provider Name | Brittany Tokash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255046066 PECOS PAC ID: 8628557873 Enrollment ID: I20260211003889 |
| Provider Name | Phanedra Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144918491 PECOS PAC ID: 9638673296 Enrollment ID: I20260216000070 |
| Provider Name | Bennett Jon Solberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861167116 PECOS PAC ID: 2163902081 Enrollment ID: I20260218002297 |
| Provider Name | Katherine Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306621958 PECOS PAC ID: 9931680147 Enrollment ID: I20260225003856 |
| Provider Name | Lena Steinberg |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609641752 PECOS PAC ID: 0042795643 Enrollment ID: I20260401000974 |
| Provider Name | Rae Pearl Canizares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811710528 PECOS PAC ID: 1456830868 Enrollment ID: I20260401001887 |
| Provider Name | Tyler Paige Mabry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154819415 PECOS PAC ID: 3274973540 Enrollment ID: I20260407001154 |
| Provider Name | Maleyna Oehlberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487436002 PECOS PAC ID: 4284109331 Enrollment ID: I20260407002701 |
| Provider Name | Hadja Dancay-bynoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851931943 PECOS PAC ID: 3072906023 Enrollment ID: I20260409003601 |
| Provider Name | Norma Jamileth Bernardez-ruiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326700519 PECOS PAC ID: 6608341482 Enrollment ID: I20260412000055 |
| Provider Name | Alexis Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780469155 PECOS PAC ID: 0749755106 Enrollment ID: I20260414000422 |
| Provider Name | Aaliyah Costley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407568736 PECOS PAC ID: 5193292670 Enrollment ID: I20260422002565 |
| Provider Name | Krystal Geneva Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295451961 PECOS PAC ID: 6901373349 Enrollment ID: I20260423001113 |
| Provider Name | Stephen Mark Rosenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770218067 PECOS PAC ID: 8921573700 Enrollment ID: I20260427000550 |
| Provider Name | Ashley Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679087555 PECOS PAC ID: 1557838216 Enrollment ID: I20260430000839 |
| Provider Name | Kyung Sun Yang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912610049 PECOS PAC ID: 7113495698 Enrollment ID: I20260504004788 |
| Provider Name | Brittany Stowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184385957 PECOS PAC ID: 3476021957 Enrollment ID: I20260504004869 |
| Provider Name | Dominique Knott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730885872 PECOS PAC ID: 6406324730 Enrollment ID: I20260505004598 |
| Provider Name | Compton Saul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295375053 PECOS PAC ID: 7618445941 Enrollment ID: I20260506000080 |
| Provider Name | Gabrielle Dietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164060794 PECOS PAC ID: 5092283127 Enrollment ID: I20260507001580 |
| Provider Name | Lynn Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497034839 PECOS PAC ID: 6507334489 Enrollment ID: I20260508002554 |
| Provider Name | Anna Bergin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689243404 PECOS PAC ID: 9830667641 Enrollment ID: I20260508003479 |
| Provider Name | Selena Lakisha Cooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376282962 PECOS PAC ID: 4385113836 Enrollment ID: I20260514001702 |
| Provider Name | Stacey King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306525019 PECOS PAC ID: 1557830163 Enrollment ID: I20260519001245 |
| Provider Name | Labreia Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316340508 PECOS PAC ID: 2961971908 Enrollment ID: I20260521004803 |
| Provider Name | Mahogany Mckinney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477379410 PECOS PAC ID: 2961972641 Enrollment ID: I20260522000830 |
| Provider Name | Mckenzie Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184096117 PECOS PAC ID: 0042780520 Enrollment ID: I20260527001085 |
| Provider Name | Andrew Lawton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548582190 PECOS PAC ID: 6608346846 Enrollment ID: I20260528002847 |
| Provider Name | Melvina Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124897970 PECOS PAC ID: 3678048584 Enrollment ID: I20260603000433 |
| Provider Name | Diana Andrea Gayle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114570611 PECOS PAC ID: 4082185764 Enrollment ID: I20260603002433 |
| Provider Name | Merna Roshdy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295560589 PECOS PAC ID: 5799256491 Enrollment ID: I20260603003136 |
| Provider Name | Dominique Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417726829 PECOS PAC ID: 4486125143 Enrollment ID: I20260604000360 |
| Provider Name | Lydia Gribi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639948755 PECOS PAC ID: 2668943325 Enrollment ID: I20260604000407 |
| Provider Name | Phyllis Joy Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477495166 PECOS PAC ID: 5092286567 Enrollment ID: I20260604004498 |
| Provider Name | Keisha Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851869697 PECOS PAC ID: 8628549094 Enrollment ID: I20260605003089 |
| Provider Name | Hayley Nicole Hinton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184493884 PECOS PAC ID: 0941771315 Enrollment ID: I20260605003207 |
| Provider Name | Taylor Nicole Roney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093567570 PECOS PAC ID: 0244701621 Enrollment ID: I20260605003521 |
| Provider Name | Pamela A. Hiler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215130711 PECOS PAC ID: 0840761136 Enrollment ID: I20260608004106 |
| Provider Name | Elijah Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841133899 PECOS PAC ID: 7012488166 Enrollment ID: I20260609002918 |
| Provider Name | Kathryn Wilderotter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871017160 PECOS PAC ID: 8527534403 Enrollment ID: I20260610003512 |
| Provider Name | Kallen Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104389808 PECOS PAC ID: 4385116862 Enrollment ID: I20260620000404 |
| Provider Name | Heather Lynn Cedeno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336449628 PECOS PAC ID: 7911470794 Enrollment ID: I20260623004338 |
| Provider Name | Tomesha Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316551591 PECOS PAC ID: 2163995465 Enrollment ID: I20260627000769 |
Modern Mind Therapy & Life Coaching LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 Fairfax Dr Ste 1200, Arlington, VA 22203 Phone: 757-303-7808 |
Jac Counseling PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2620 12th St S, Arlington, VA 22204 Phone: 703-594-1531 |
Lilac Counseling and Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 26th Rd S, Arlington, VA 22202 Phone: 571-322-6312 |
Catholic Charities Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Glebe Rd, Suite 250, Arlington, VA 22203 Phone: 703-224-1648 |
Hexagon Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503d N Harrison St # 2051, Arlington, VA 22207 Phone: 703-261-4992 |
Ascent Behavioral Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Wilson Blvd Ste 702, Arlington, VA 22209 Phone: 202-630-6506 |