Envision One Outpatient Services, Llc - Mental Health Clinic in Petersburg, VA

Envision One Outpatient Services, Llc is a mental health clinic (Counselor - Mental Health) in Petersburg, Virginia. The current practice location for Envision One Outpatient Services, Llc is 15 Goodrich Ave, Petersburg, Virginia. For appointments, you can reach them via phone at (804) 862-8300. The mailing address for Envision One Outpatient Services, Llc is 15 Goodrich Ave, Petersburg, Virginia and phone number is (804) 862-8300.

Envision One Outpatient Services, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1336542596. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (804) 862-8300.

Contact Information

Envision One Outpatient Services, Llc
15 Goodrich Ave
Petersburg
VA 23805-2119
(804) 862-8300
(804) 862-8302

Map and Direction


Mental Health Clinic Profile

Full NameEnvision One Outpatient Services, Llc
SpecialityCounselor - Mental Health
Location15 Goodrich Ave, Petersburg, Virginia
Authorized Official Name and PositionAngela Jones (PRESIDENT/CEO)
Authorized Official Contact8048628300
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Envision One Outpatient Services, Llc
15 Goodrich Ave
Petersburg
VA 23805-2119

Ph: (804) 862-8300
Envision One Outpatient Services, Llc
15 Goodrich Ave
Petersburg
VA 23805-2119

Ph: (804) 862-8300

NPI Details:

NPI Number1336542596
Provider Enumeration Date10/02/2014
Last Update Date11/14/2014

Medical Identifiers

Medical identifiers for Envision One Outpatient Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336542596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary
101YP2500XCounselor - Professional (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.