Roberta Jo Simons, | |
65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | |
(304) 848-5770 | |
Not Available |
Full Name | Roberta Jo Simons |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 65 Professional Pl Ste 102103, Bridgeport, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275245367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2693 (West Virginia) | Primary |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1164653457 PECOS PAC ID: 0446232987 Enrollment ID: O20071024000166 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912258492 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000561 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699024547 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000587 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619348844 PECOS PAC ID: 0446232987 Enrollment ID: O20160310000180 |
Entity Name | Community Care Of West Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851767818 PECOS PAC ID: 0446232987 Enrollment ID: O20160329001984 |
Entity Name | Community Care Of West Virginia Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275271611 PECOS PAC ID: 0648189258 Enrollment ID: O20230615000337 |
Mailing Address | Practice Location Address |
---|---|
Roberta Jo Simons, 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 | Roberta Jo Simons, 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 Ph: (304) 848-5770 |
Darice Renee Yerkovich, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Wedge St, Bridgeport, WV 26330 Phone: 304-598-0344 | |
Katherine Elizabeth Bennett, KATHERINE PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Pl, Bridgeport, WV 26330 Phone: 304-848-5004 | |
Mr. Andro Kim Haws, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Davisson St, Bridgeport, WV 26330 Phone: 304-842-7329 | |
Kristina Robinson, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 W Main St, Bridgeport, WV 26330 Phone: 304-842-8852 | |
Zabrya Lee Robson, MA, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Pl Ste 102, Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-842-5477 | |
Chad Michael Boram, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 351 E Main St, Bridgeport, WV 26330 Phone: 304-848-0303 |