| Commonwealth Counseling Associates Inc | |
|
9202 Center Oak Ct Mechanicsville VA 23116-2744 | |
| (804) 207-6737 | |
| (804) 730-2829 |
| Full Name | Commonwealth Counseling Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 9202 Center Oak Ct, Mechanicsville, Virginia |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Counseling Associates Inc 9202 Center Oak Ct Mechanicsville VA 23116-2744 Ph: (804) 207-6737 | Commonwealth Counseling Associates Inc 9202 Center Oak Ct Mechanicsville VA 23116-2744 Ph: (804) 207-6737 |
| NPI Number | 1851345805 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 0941288583 |
|---|---|
| Medicare Enrollment ID | O20040710000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851345805 | NPI | - | NPPES |
| 440241 | Other | VA | ANTHEM BCBS |
| 30015185590001 | Medicaid | VA | |
| 270615000 | Other | MAGELLAN |
| Provider Name | Roy S Wilensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356358006 PECOS PAC ID: 9032009998 Enrollment ID: I20040316001069 |
| Provider Name | Eileen Marie Mulcahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952472532 PECOS PAC ID: 2860470846 Enrollment ID: I20040708000270 |
| Provider Name | Carol E Harkrader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023197688 PECOS PAC ID: 7911965926 Enrollment ID: I20041222000262 |
| Provider Name | Tanya Satterwhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912037250 PECOS PAC ID: 6406802594 Enrollment ID: I20050322000748 |
| Provider Name | Donna M Paris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174601496 PECOS PAC ID: 3072612845 Enrollment ID: I20070619000472 |
| Provider Name | James R Craft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831202324 PECOS PAC ID: 9335248756 Enrollment ID: I20070626000749 |
| Provider Name | Jane Kudlas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942381264 PECOS PAC ID: 4880788249 Enrollment ID: I20070917000500 |
| Provider Name | Michael S Ellwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467490664 PECOS PAC ID: 7517018542 Enrollment ID: I20090701000648 |
| Provider Name | Ross A Yaple |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790988251 PECOS PAC ID: 1658425319 Enrollment ID: I20090813000825 |
| Provider Name | Willar Mae Baum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003849142 PECOS PAC ID: 1759578446 Enrollment ID: I20101207000895 |
| Provider Name | Quanda Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063556363 PECOS PAC ID: 8426237967 Enrollment ID: I20110128000962 |
| Provider Name | Melissa Faith Gross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942294582 PECOS PAC ID: 5294912184 Enrollment ID: I20110601000597 |
| Provider Name | Kathleen L Miner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164746103 PECOS PAC ID: 9133398118 Enrollment ID: I20110808000873 |
| Provider Name | Clair M Oja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558681478 PECOS PAC ID: 4587812391 Enrollment ID: I20121114000321 |
| Provider Name | Beth Mcgraw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164511234 PECOS PAC ID: 7618129826 Enrollment ID: I20121217000315 |
| Provider Name | Linda Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326322868 PECOS PAC ID: 8527289099 Enrollment ID: I20141027000679 |
| Provider Name | Ann E Carnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184032476 PECOS PAC ID: 2668693144 Enrollment ID: I20150127001357 |
| Provider Name | Alicia C Gist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457721383 PECOS PAC ID: 9739499542 Enrollment ID: I20151106001657 |
| Provider Name | Michael C Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891177564 PECOS PAC ID: 5890096200 Enrollment ID: I20151208003183 |
| Provider Name | Amy Lynn Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547027 PECOS PAC ID: 3375822661 Enrollment ID: I20161109000392 |
| Provider Name | Belinda Nicole Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114013422 PECOS PAC ID: 0840326138 Enrollment ID: I20161121001412 |
| Provider Name | Enyonam J Jordan Brangman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114112604 PECOS PAC ID: 3678856259 Enrollment ID: I20170206000276 |
| Provider Name | Janice Shubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508963141 PECOS PAC ID: 4981971371 Enrollment ID: I20170607000506 |
| Provider Name | Jennifer C Schrecengost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407812811 PECOS PAC ID: 2062787013 Enrollment ID: I20171002002459 |
| Provider Name | Mary E Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285832980 PECOS PAC ID: 4981788163 Enrollment ID: I20180125002657 |
| Provider Name | Nichelle N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427368000 PECOS PAC ID: 4981905387 Enrollment ID: I20180716001008 |
| Provider Name | Rosebelle De Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366636029 PECOS PAC ID: 9931406766 Enrollment ID: I20180814001884 |
| Provider Name | Aslihan Sogutlu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306244215 PECOS PAC ID: 7911293790 Enrollment ID: I20180823000071 |
| Provider Name | Shrina S Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821435843 PECOS PAC ID: 4082853064 Enrollment ID: I20190117004010 |
| Provider Name | Jennifer Sions |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608460 PECOS PAC ID: 1850622309 Enrollment ID: I20191014003118 |
| Provider Name | Katie Sinclair Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851812226 PECOS PAC ID: 8820422215 Enrollment ID: I20191217002820 |
| Provider Name | Tara Rhiannon Inman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720634058 PECOS PAC ID: 4981039088 Enrollment ID: I20200118000117 |
| Provider Name | Tanaysha Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285279257 PECOS PAC ID: 8123455987 Enrollment ID: I20200218000317 |
| Provider Name | Brittni A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649810466 PECOS PAC ID: 6709216203 Enrollment ID: I20200424000851 |
| Provider Name | Saundra Trouslot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935033 PECOS PAC ID: 5092138479 Enrollment ID: I20200701001982 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003432949 PECOS PAC ID: 3577988096 Enrollment ID: I20200730003857 |
| Provider Name | Tricia Daigle Northinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578160875 PECOS PAC ID: 1759793086 Enrollment ID: I20201210001317 |
| Provider Name | Hyang Gi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942804372 PECOS PAC ID: 0941613228 Enrollment ID: I20210105002112 |
| Provider Name | Kevina Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635683 PECOS PAC ID: 6204249204 Enrollment ID: I20210112003146 |
| Provider Name | Patricia S Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598801078 PECOS PAC ID: 2163599093 Enrollment ID: I20210121000853 |
| Provider Name | Jacquelyn M Feliciano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023637394 PECOS PAC ID: 9133534860 Enrollment ID: I20210210002667 |
| Provider Name | Kimberly J Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033736921 PECOS PAC ID: 1153737820 Enrollment ID: I20210303001992 |
| Provider Name | Stephen Delo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568917698 PECOS PAC ID: 4981007861 Enrollment ID: I20210729002941 |
| Provider Name | Dana Ashley Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457903205 PECOS PAC ID: 2062802390 Enrollment ID: I20211202002071 |
| Provider Name | Jasmine Janae Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164187142 PECOS PAC ID: 8527459288 Enrollment ID: I20220215000193 |
| Provider Name | Esi Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114533346 PECOS PAC ID: 7012304090 Enrollment ID: I20220427002680 |
| Provider Name | Miranda Chakos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093775744 PECOS PAC ID: 3375438146 Enrollment ID: I20221102002096 |
| Provider Name | Brittany Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720614092 PECOS PAC ID: 7416388350 Enrollment ID: I20221104000086 |
| Provider Name | Frinette Maria Barkhauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386930048 PECOS PAC ID: 6305144783 Enrollment ID: I20221104000091 |
| Provider Name | Jenna E Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184936908 PECOS PAC ID: 6305006156 Enrollment ID: I20221216002466 |
| Provider Name | Komal P Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538514815 PECOS PAC ID: 8224325162 Enrollment ID: I20221221002107 |
| Provider Name | Elaine S Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760498810 PECOS PAC ID: 6406226174 Enrollment ID: I20221221003274 |
| Provider Name | Shealyn Cyr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861406480 PECOS PAC ID: 1153453048 Enrollment ID: I20221227001709 |
| Provider Name | Elizabeth Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992457139 PECOS PAC ID: 9133599491 Enrollment ID: I20221230001668 |
| Provider Name | Alexandre Fleche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194279232 PECOS PAC ID: 1254715220 Enrollment ID: I20230120001829 |
| Provider Name | Rachel Firman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013682640 PECOS PAC ID: 5092187930 Enrollment ID: I20230202001433 |
| Provider Name | Elena S Monti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205141660 PECOS PAC ID: 9133594161 Enrollment ID: I20230405001179 |
| Provider Name | Sarah King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194422873 PECOS PAC ID: 5092180042 Enrollment ID: I20230405002181 |
| Provider Name | Donna Marie Simons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104076751 PECOS PAC ID: 4789903279 Enrollment ID: I20230405002370 |
| Provider Name | Anita Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467150326 PECOS PAC ID: 1254796212 Enrollment ID: I20230428001582 |
| Provider Name | Eileen Tehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932332558 PECOS PAC ID: 1355528662 Enrollment ID: I20230501000074 |
| Provider Name | Alyssa Faith Shadbolt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457091415 PECOS PAC ID: 9133585698 Enrollment ID: I20230525002187 |
| Provider Name | Jennifer Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386390060 PECOS PAC ID: 0446617682 Enrollment ID: I20230605000581 |
| Provider Name | Arun Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083089791 PECOS PAC ID: 0648515858 Enrollment ID: I20230720003508 |
| Provider Name | Emily Leann Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356005086 PECOS PAC ID: 6204297757 Enrollment ID: I20230731002077 |
| Provider Name | Kaila Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184080582 PECOS PAC ID: 6002297645 Enrollment ID: I20230731002439 |
| Provider Name | Margueritte L Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397506 PECOS PAC ID: 2163883596 Enrollment ID: I20230802001080 |
| Provider Name | Michelle Lynn Capozzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821551938 PECOS PAC ID: 1850752098 Enrollment ID: I20230803002254 |
| Provider Name | Alesha R Lieser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336595289 PECOS PAC ID: 1052774445 Enrollment ID: I20230901000738 |
| Provider Name | Justin Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932747482 PECOS PAC ID: 2466882030 Enrollment ID: I20230922003832 |
| Provider Name | Crystal Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801404744 PECOS PAC ID: 7113371758 Enrollment ID: I20230929002456 |
| Provider Name | Elise Rose Gallie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407596232 PECOS PAC ID: 1254785801 Enrollment ID: I20230929002767 |
| Provider Name | Yvette Zebaze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467865055 PECOS PAC ID: 6608220280 Enrollment ID: I20231002000023 |
| Provider Name | Augustine Ahenkorah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376118182 PECOS PAC ID: 5597119800 Enrollment ID: I20231004003061 |
| Provider Name | Michelle Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194326595 PECOS PAC ID: 5698060622 Enrollment ID: I20231030000076 |
| Provider Name | Adeyinka Rita Ososanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467914127 PECOS PAC ID: 6406202381 Enrollment ID: I20231030000580 |
| Provider Name | Sindhu Kodoth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235919523 PECOS PAC ID: 9537516570 Enrollment ID: I20231113001168 |
| Provider Name | Pamela Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083395438 PECOS PAC ID: 2365899002 Enrollment ID: I20231116003578 |
| Provider Name | Lorin Adegbenro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972196590 PECOS PAC ID: 8022466168 Enrollment ID: I20231129002765 |
| Provider Name | Shameka Clark Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013450741 PECOS PAC ID: 9234587148 Enrollment ID: I20231201002007 |
| Provider Name | Huiyan Feng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164042933 PECOS PAC ID: 1759739568 Enrollment ID: I20231204002561 |
| Provider Name | Danielle N Crane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194496430 PECOS PAC ID: 3476901299 Enrollment ID: I20231204003072 |
| Provider Name | Nicole M Hornef |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912546391 PECOS PAC ID: 7416306220 Enrollment ID: I20231205002960 |
| Provider Name | Mary S Zimomra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780770537 PECOS PAC ID: 3476902123 Enrollment ID: I20231207000717 |
| Provider Name | Samantha L Orrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467917401 PECOS PAC ID: 0143622902 Enrollment ID: I20231208000129 |
| Provider Name | Noeris Montanez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417435496 PECOS PAC ID: 1254780893 Enrollment ID: I20231208000460 |
| Provider Name | Stephanie C Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992817118 PECOS PAC ID: 7315396876 Enrollment ID: I20231208001263 |
| Provider Name | Deeba Khumar-chadha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871140343 PECOS PAC ID: 5294184750 Enrollment ID: I20231208001426 |
| Provider Name | Natasha Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457059487 PECOS PAC ID: 3173972668 Enrollment ID: I20231208002426 |
| Provider Name | Heidi L Kerger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437890399 PECOS PAC ID: 4486003985 Enrollment ID: I20231208002693 |
| Provider Name | Michelle M Hawbaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710079629 PECOS PAC ID: 3375992878 Enrollment ID: I20231208002790 |
| Provider Name | Holly A Hargreaves-cormany |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588195556 PECOS PAC ID: 1355790858 Enrollment ID: I20231208002864 |
| Provider Name | Victoria L Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740777242 PECOS PAC ID: 8325497829 Enrollment ID: I20231208002956 |
| Provider Name | Mary C Wiggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184804601 PECOS PAC ID: 9133578677 Enrollment ID: I20231211000032 |
| Provider Name | Tiffany M Zalusky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386231892 PECOS PAC ID: 3274982715 Enrollment ID: I20231211000146 |
| Provider Name | Shelia E Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417435413 PECOS PAC ID: 2567811946 Enrollment ID: I20231211001493 |
| Provider Name | Jenna M Pipolo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013587427 PECOS PAC ID: 9032568233 Enrollment ID: I20231213002635 |
| Provider Name | Ronald Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174008619 PECOS PAC ID: 7911356951 Enrollment ID: I20231215000687 |
| Provider Name | Richard A Villa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558679399 PECOS PAC ID: 2163871153 Enrollment ID: I20231215003164 |
| Provider Name | Roshawna M Stokes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407495955 PECOS PAC ID: 9234588237 Enrollment ID: I20231215003286 |
| Provider Name | Sharon B Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518049147 PECOS PAC ID: 5092165803 Enrollment ID: I20231220000450 |
| Provider Name | Audrey King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497115919 PECOS PAC ID: 0143670828 Enrollment ID: I20231220003597 |
| Provider Name | Staci N Dungee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841867488 PECOS PAC ID: 4284082215 Enrollment ID: I20231228002865 |
| Provider Name | Luon M Fletcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528688652 PECOS PAC ID: 8527418748 Enrollment ID: I20231229000387 |
| Provider Name | Chase C Butala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215347687 PECOS PAC ID: 6002267895 Enrollment ID: I20240105001204 |
| Provider Name | Brittany J Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881278158 PECOS PAC ID: 9739530544 Enrollment ID: I20240105002001 |
| Provider Name | Brian Cass |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386259687 PECOS PAC ID: 8628429461 Enrollment ID: I20240105003207 |
| Provider Name | Cheryl L Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922118132 PECOS PAC ID: 9032560214 Enrollment ID: I20240111004789 |
| Provider Name | Jennifer J Mixson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396115960 PECOS PAC ID: 9234581158 Enrollment ID: I20240116004597 |
| Provider Name | Alyssa C Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902227861 PECOS PAC ID: 2264876614 Enrollment ID: I20240214000856 |
| Provider Name | Rita Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407271836 PECOS PAC ID: 4183068257 Enrollment ID: I20240216000286 |
| Provider Name | Patricia L Crowder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508464215 PECOS PAC ID: 6002252608 Enrollment ID: I20240306000171 |
| Provider Name | William Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366191157 PECOS PAC ID: 9133565757 Enrollment ID: I20240306000767 |
| Provider Name | Vernice I Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568052678 PECOS PAC ID: 9830535467 Enrollment ID: I20240306000940 |
| Provider Name | Teresa G Endsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619363371 PECOS PAC ID: 2769828300 Enrollment ID: I20240306001218 |
| Provider Name | Karishma Snider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245991298 PECOS PAC ID: 9234575879 Enrollment ID: I20240306001499 |
| Provider Name | Kelle A Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164403085 PECOS PAC ID: 3779929328 Enrollment ID: I20240306001602 |
| Provider Name | Jacqueline L Bitanga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831595842 PECOS PAC ID: 4486090644 Enrollment ID: I20240311000264 |
| Provider Name | David G Flynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518548817 PECOS PAC ID: 5193161354 Enrollment ID: I20240311000348 |
| Provider Name | Geoffrey Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417475435 PECOS PAC ID: 2961874631 Enrollment ID: I20240319001458 |
| Provider Name | Katrina A Clayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609341452 PECOS PAC ID: 1759728025 Enrollment ID: I20240321003383 |
| Provider Name | Lindsey E Moscak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477163483 PECOS PAC ID: 1951748235 Enrollment ID: I20240321003741 |
| Provider Name | Mary Ann Rapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215579867 PECOS PAC ID: 9234576521 Enrollment ID: I20240321004109 |
| Provider Name | Lisa S Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457067191 PECOS PAC ID: 3870930167 Enrollment ID: I20240321004126 |
| Provider Name | Holly Suzanne Ameen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407267917 PECOS PAC ID: 6507203890 Enrollment ID: I20240321004138 |
| Provider Name | Frank Douglass Bond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013543560 PECOS PAC ID: 9133566425 Enrollment ID: I20240321004151 |
| Provider Name | Rebecca Leah Henderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1497224927 PECOS PAC ID: 9739425091 Enrollment ID: I20240410004081 |
| Provider Name | Kathleen Walsh Matay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043817943 PECOS PAC ID: 6901246057 Enrollment ID: I20240506004566 |
| Provider Name | Rashell Gamble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215698147 PECOS PAC ID: 4880036433 Enrollment ID: I20240528002374 |
| Provider Name | Sherin Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891409447 PECOS PAC ID: 3779025580 Enrollment ID: I20240607003040 |
| Provider Name | Kristina Chong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538872403 PECOS PAC ID: 8325580764 Enrollment ID: I20240612004192 |
| Provider Name | Sarah Lynn Glass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376392258 PECOS PAC ID: 7911442504 Enrollment ID: I20240708002152 |
| Provider Name | Herbert Leon Bryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396856803 PECOS PAC ID: 2264977354 Enrollment ID: I20240712002850 |
| Provider Name | Anjali Shankar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386263549 PECOS PAC ID: 6103242631 Enrollment ID: I20240715000367 |
| Provider Name | Keesha Lawanda Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700598364 PECOS PAC ID: 3577003375 Enrollment ID: I20240906004216 |
| Provider Name | Kiersten R Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245065234 PECOS PAC ID: 8527590645 Enrollment ID: I20241015000667 |
| Provider Name | Danielle Jasmine Pinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730812785 PECOS PAC ID: 6406388230 Enrollment ID: I20241017000894 |
| Provider Name | Kaitlyn E Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396331229 PECOS PAC ID: 6002255999 Enrollment ID: I20241114000367 |
| Provider Name | Andrew Christian Buchholz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346589538 PECOS PAC ID: 1355607615 Enrollment ID: I20241118003496 |
| Provider Name | Dawn Marie Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346886553 PECOS PAC ID: 1052847803 Enrollment ID: I20241204001554 |
| Provider Name | Naemmy Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598191520 PECOS PAC ID: 1951522234 Enrollment ID: I20241204001675 |
| Provider Name | Dawn E Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497599625 PECOS PAC ID: 6709313950 Enrollment ID: I20241230000887 |
| Provider Name | Patricia D Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972018265 PECOS PAC ID: 6103354683 Enrollment ID: I20250111000125 |
| Provider Name | Chevelle A Newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417688961 PECOS PAC ID: 2567990732 Enrollment ID: I20250115003369 |
| Provider Name | Chanda Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073332334 PECOS PAC ID: 0446539290 Enrollment ID: I20250203003590 |
| Provider Name | Lauren Elizabeth Mears |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992577068 PECOS PAC ID: 5890225627 Enrollment ID: I20250210001967 |
| Provider Name | Renita Martine' Reid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538928742 PECOS PAC ID: 9032639257 Enrollment ID: I20250218003900 |
| Provider Name | Ashraf Sefain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211054 PECOS PAC ID: 8123548385 Enrollment ID: I20250219001041 |
| Provider Name | Bethany Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639910110 PECOS PAC ID: 0648791988 Enrollment ID: I20250304000653 |
| Provider Name | Tirzah Chantel Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699517953 PECOS PAC ID: 2567983554 Enrollment ID: I20250306001645 |
| Provider Name | Ava Vaughan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023526969 PECOS PAC ID: 8820519507 Enrollment ID: I20250311000946 |
| Provider Name | Igor Pryadkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487343885 PECOS PAC ID: 2961859764 Enrollment ID: I20250314000732 |
| Provider Name | Nicole Natalie Edwards-hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699348326 PECOS PAC ID: 4385166404 Enrollment ID: I20250318003647 |
| Provider Name | Tay-lor Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003484908 PECOS PAC ID: 0446609937 Enrollment ID: I20250326000086 |
| Provider Name | Linda J. Visaggi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366762254 PECOS PAC ID: 9537353735 Enrollment ID: I20250326000808 |
| Provider Name | Rebecca Lech |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083282123 PECOS PAC ID: 7618491226 Enrollment ID: I20250404001173 |
| Provider Name | Rosenald Cesaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518547900 PECOS PAC ID: 5294110268 Enrollment ID: I20250407000876 |
| Provider Name | Jasmine Detwaunna Davis-goode |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457175481 PECOS PAC ID: 4880118876 Enrollment ID: I20250411001496 |
| Provider Name | Mariah Bainbridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053066423 PECOS PAC ID: 7214451053 Enrollment ID: I20250414001818 |
| Provider Name | Ashley J Allsbrook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033794888 PECOS PAC ID: 0941725733 Enrollment ID: I20250414003435 |
| Provider Name | Sarah Gibson Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477221836 PECOS PAC ID: 5496270217 Enrollment ID: I20250415000771 |
| Provider Name | Aaliyah S Gibbons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346092277 PECOS PAC ID: 0345787610 Enrollment ID: I20250415002179 |
| Provider Name | Shelby Lynn Brownlee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598096539 PECOS PAC ID: 4880119387 Enrollment ID: I20250417000307 |
| Provider Name | Erin Norah Lutumba Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699422626 PECOS PAC ID: 7810412228 Enrollment ID: I20250417003600 |
| Provider Name | Lesly Heather Baugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639242522 PECOS PAC ID: 2769671791 Enrollment ID: I20250418000031 |
| Provider Name | Robin Rukin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700834447 PECOS PAC ID: 5890210785 Enrollment ID: I20250423002616 |
| Provider Name | Teshera Quamaine Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699514398 PECOS PAC ID: 9537685466 Enrollment ID: I20250424000061 |
| Provider Name | Chelsea Aditi Stipe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467100354 PECOS PAC ID: 9335665850 Enrollment ID: I20250428004142 |
| Provider Name | Marie Berthe Madze Fotso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376367243 PECOS PAC ID: 7810414208 Enrollment ID: I20250508002866 |
| Provider Name | Kelly Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851901136 PECOS PAC ID: 2769802644 Enrollment ID: I20250509002223 |
| Provider Name | Michelle S Curry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225867625 PECOS PAC ID: 4688192768 Enrollment ID: I20250513003290 |
| Provider Name | Emily Caster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598994840 PECOS PAC ID: 2062663073 Enrollment ID: I20250515002254 |
Hope Counseling And Consultation Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9291 Laurel Grove Rd, Suite 115, Mechanicsville, VA 23116 Phone: 804-317-5902 Fax: 804-509-0104 | |
Not Just Play, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6501 Mechanicsville Tpke Ste G3, Mechanicsville, VA 23111 Phone: 804-305-4621 Fax: 844-658-9554 | |
Nest Life Virginia, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5951 Dugout Ter, Mechanicsville, VA 23111 Phone: 727-201-2389 Fax: 855-224-4326 | |
Sensible Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11025 Greenline Ct, Mechanicsville, VA 23116 Phone: 804-514-8114 | |
Care Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Boundary Run Dr, Mechanicsville, VA 23111 Phone: 804-223-1366 | |
United Family Resources P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7516 Right Flank Rd, Suite 220, Mechanicsville, VA 23116 Phone: 804-559-4566 Fax: 804-559-1449 | |
Triple Willow Mental Health Clinic, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Hanover Green Dr Ste 100, Mechanicsville, VA 23111 Phone: 804-781-4418 Fax: 804-212-0981 |