| Adagio House, Inc. | |
|
1000 Chicago Ave Harrisonburg VA 22802-5403 | |
| (540) 746-0345 | |
| (540) 746-0345 |
| Full Name | Adagio House, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1000 Chicago Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | April Hepler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5407460345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adagio House, Inc. 1000 Chicago Ave Harrisonburg VA 22802-5403 Ph: (540) 746-0345 | Adagio House, Inc. 1000 Chicago Ave Harrisonburg VA 22802-5403 Ph: (540) 746-0345 |
| NPI Number | 1790341527 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Medicare PECOS PAC ID | 3870974496 |
|---|---|
| Medicare Enrollment ID | O20220713003942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790341527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Liza Koonin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477072361 PECOS PAC ID: 0345582045 Enrollment ID: I20190430000001 |
| Provider Name | Hannah D. M. Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871134023 PECOS PAC ID: 2961851175 Enrollment ID: I20231213003087 |
| Provider Name | Jason Lichti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023665817 PECOS PAC ID: 6305283904 Enrollment ID: I20240319000815 |
| Provider Name | Kristee Jo Rosenow Trumbo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063812972 PECOS PAC ID: 9436598919 Enrollment ID: I20240416004436 |
| Provider Name | Erin Grace Haase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306266382 PECOS PAC ID: 6406296565 Enrollment ID: I20240506004839 |
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