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340 Hospital Dr Warrenton VA 20186-3006 | |
| (540) 347-7620 | |
| (540) 349-0644 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 340 Hospital Dr, Warrenton, Virginia |
| Authorized Official Name and Position | James Lagraffe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5408253100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1568 Culpeper VA 22701-6568 Ph: (540) 825-3100 | 340 Hospital Dr Warrenton VA 20186-3006 Ph: (540) 347-7620 |
| NPI Number | 1568424364 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 5496649584 |
|---|---|
| Medicare Enrollment ID | O20040210000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568424364 | NPI | - | NPPES |
| 4945361 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 16907004 (Virginia) | Primary |
| Provider Name | Brian D Krause |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588638068 PECOS PAC ID: 8224183645 Enrollment ID: I20100215000638 |
| Provider Name | Charles A Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053404855 PECOS PAC ID: 0345385985 Enrollment ID: I20100306000110 |
| Provider Name | Lisa Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689226821 PECOS PAC ID: 5991035719 Enrollment ID: I20190920002976 |
| Provider Name | Wanda Hilliard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942503834 PECOS PAC ID: 2567615727 Enrollment ID: I20220128001448 |
| Provider Name | Diana Latorre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679755094 PECOS PAC ID: 5991062838 Enrollment ID: I20230719003603 |
| Provider Name | Renata Klosterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437513249 PECOS PAC ID: 3971953233 Enrollment ID: I20231228002085 |
| Provider Name | Kimberly Lovell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376997262 PECOS PAC ID: 4587014519 Enrollment ID: I20240103000990 |
| Provider Name | Paula Stone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447432737 PECOS PAC ID: 7618328683 Enrollment ID: I20240104001402 |
| Provider Name | Ashton Morse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215419130 PECOS PAC ID: 1153772728 Enrollment ID: I20240108004758 |
| Provider Name | Benjamin D Thomson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154925196 PECOS PAC ID: 4789036542 Enrollment ID: I20240117001373 |
| Provider Name | Barbara Marie Herzing |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265542773 PECOS PAC ID: 2668825654 Enrollment ID: I20240125003473 |
| Provider Name | Patrice L Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346888542 PECOS PAC ID: 3577902196 Enrollment ID: I20240416001679 |
| Provider Name | Jennifer Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083747 PECOS PAC ID: 4486083201 Enrollment ID: I20240904000244 |
| Provider Name | April Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538727003 PECOS PAC ID: 9032659495 Enrollment ID: I20240911004701 |
| Provider Name | Shel M Bolyard-douglas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255166831 PECOS PAC ID: 9830621580 Enrollment ID: I20241018001488 |
Clear Blue Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7282 Forrest Rd, Warrenton, VA 20187 Phone: 201-317-7099 | |
Reemerge Child Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Ashby Street, Suite 201, Warrenton, VA 20186 Phone: 540-491-4300 | |
Hi5 Aba Processing Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5306 Lee Hwy, Warrenton, VA 20187 Phone: 571-212-6627 | |
Family Focus Counseling Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20b John Marshall St, Warrenton, VA 20186 Phone: 540-349-4537 Fax: 540-349-2369 | |
Suzanne Martel Pitts, M.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Horner St, Suite 110, Warrenton, VA 20186 Phone: 540-347-4902 Fax: 540-347-4915 |