| Family Insight, Pc | |
|
3433 Brambleton Ave Ste 201a Roanoke VA 24018-6527 | |
| (540) 266-7550 | |
| (540) 266-7230 |
| Full Name | Family Insight, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3433 Brambleton Ave Ste 201a, Roanoke, Virginia |
| Authorized Official Name and Position | Robert Paul Lawrence (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5407290001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Insight, Pc 6800 Paragon Pl Ste 200 Richmond VA 23230-1652 Ph: (804) 562-6604 | Family Insight, Pc 3433 Brambleton Ave Ste 201a Roanoke VA 24018-6527 Ph: (540) 266-7550 |
| NPI Number | 1194996280 |
|---|---|
| Provider Enumeration Date | 03/17/2008 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 3072921626 |
|---|---|
| Medicare Enrollment ID | O20210420000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194996280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 965-05-001 (Virginia) | Primary |
| Provider Name | Debra R Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326010158 PECOS PAC ID: 9032149778 Enrollment ID: I20210504000017 |
| Provider Name | Ellen Koduah Agbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306416672 PECOS PAC ID: 0446655971 Enrollment ID: I20210823000973 |
| Provider Name | Kate Asiedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619640976 PECOS PAC ID: 8921497223 Enrollment ID: I20211108000835 |
| Provider Name | Laura Joyce Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962034546 PECOS PAC ID: 0840687554 Enrollment ID: I20220427003203 |
| Provider Name | Khandi Garraway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821746686 PECOS PAC ID: 7214314434 Enrollment ID: I20220510000022 |
| Provider Name | Jeana Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164093506 PECOS PAC ID: 5395122527 Enrollment ID: I20220510000134 |
| Provider Name | Valerie Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497976997 PECOS PAC ID: 5193706075 Enrollment ID: I20220510000519 |
| Provider Name | Ashlea Azzopardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396319851 PECOS PAC ID: 3870970015 Enrollment ID: I20220510000783 |
| Provider Name | Rachel Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922774702 PECOS PAC ID: 7214314483 Enrollment ID: I20220510001734 |
| Provider Name | Charles B Laslie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871694265 PECOS PAC ID: 0941687024 Enrollment ID: I20220510002750 |
| Provider Name | Natalie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912414210 PECOS PAC ID: 7810374964 Enrollment ID: I20220511002479 |
| Provider Name | Deborah Wolff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124419171 PECOS PAC ID: 6901283068 Enrollment ID: I20220512000178 |
| Provider Name | Nichelle N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427368000 PECOS PAC ID: 4981905387 Enrollment ID: I20220512001638 |
| Provider Name | Tesa Mullins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902550288 PECOS PAC ID: 0941687974 Enrollment ID: I20220513000271 |
| Provider Name | Renee Cundiff Nauful |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063963874 PECOS PAC ID: 0042591893 Enrollment ID: I20220706000254 |
| Provider Name | Kimberley Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306040142 PECOS PAC ID: 3678792199 Enrollment ID: I20220707000056 |
| Provider Name | Alicia Mooradian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104332931 PECOS PAC ID: 6305230921 Enrollment ID: I20220708000250 |
| Provider Name | Octavia Samone Rodney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114658937 PECOS PAC ID: 3577947167 Enrollment ID: I20220831000952 |
| Provider Name | Kathryn Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356787873 PECOS PAC ID: 7012142953 Enrollment ID: I20221003001020 |
| Provider Name | Merissa L Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780845362 PECOS PAC ID: 8325207764 Enrollment ID: I20221004003034 |
| Provider Name | Gary Henschen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366647869 PECOS PAC ID: 1456670330 Enrollment ID: I20221015000016 |
| Provider Name | John M Salay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083776074 PECOS PAC ID: 8729214234 Enrollment ID: I20221031001522 |
| Provider Name | Rebecca Garst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467030262 PECOS PAC ID: 1850769613 Enrollment ID: I20221129001078 |
| Provider Name | Sarah Klick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487076022 PECOS PAC ID: 8729432216 Enrollment ID: I20240304004002 |
| Provider Name | Elizabeth Carrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265111967 PECOS PAC ID: 6800245820 Enrollment ID: I20240305000730 |
| Provider Name | Theresa Ann Picone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629238852 PECOS PAC ID: 8022372101 Enrollment ID: I20240305000749 |
| Provider Name | Luke Hummel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023696234 PECOS PAC ID: 8224473848 Enrollment ID: I20240305001365 |
| Provider Name | Kelly Cummings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114445376 PECOS PAC ID: 8022468677 Enrollment ID: I20240305003055 |
| Provider Name | Audrey King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497115919 PECOS PAC ID: 0143670828 Enrollment ID: I20240305004153 |
| Provider Name | Candace Hopper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144920885 PECOS PAC ID: 1153771720 Enrollment ID: I20240306001607 |
| Provider Name | John Toliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316575491 PECOS PAC ID: 1254777618 Enrollment ID: I20240308000298 |
| Provider Name | Janet Ann Jongebloed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891388179 PECOS PAC ID: 5193163574 Enrollment ID: I20240404000273 |
| Provider Name | Savannah Pierce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952064214 PECOS PAC ID: 0446696041 Enrollment ID: I20240419000837 |
| Provider Name | Marlene Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851869374 PECOS PAC ID: 7113370206 Enrollment ID: I20240422000868 |
| Provider Name | Melissa Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124781489 PECOS PAC ID: 1850730821 Enrollment ID: I20240424000128 |
| Provider Name | Alicia Garrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013407881 PECOS PAC ID: 0244676682 Enrollment ID: I20240508000605 |
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