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209 Millstone Dr Ste A Hillsborough NC 27278-8776 | |
| (402) 727-1592 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 209 Millstone Dr Ste A, Hillsborough, North Carolina |
| Authorized Official Name and Position | Virginia Marie Steelman (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (402) 727-1592 | 209 Millstone Dr Ste A Hillsborough NC 27278-8776 Ph: (402) 727-1592 |
| NPI Number | 1629843933 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 5092120030 |
|---|---|
| Medicare Enrollment ID | O20210224002078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629843933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Chambers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659412245 PECOS PAC ID: 5092616870 Enrollment ID: I20040115000395 |
| Provider Name | Robert A Fleury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467495903 PECOS PAC ID: 9739070996 Enrollment ID: I20040324001468 |
| Provider Name | Tamara L Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619995982 PECOS PAC ID: 5799758926 Enrollment ID: I20040817000118 |
| Provider Name | Signe F Offenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609954213 PECOS PAC ID: 9234235300 Enrollment ID: I20070507000244 |
| Provider Name | Pamela L Epperson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821030370 PECOS PAC ID: 2860470093 Enrollment ID: I20100427000394 |
| Provider Name | Siera S Ciocci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710293683 PECOS PAC ID: 8123286507 Enrollment ID: I20120215000584 |
| Provider Name | Wendy Elder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124376033 PECOS PAC ID: 4486803673 Enrollment ID: I20121003000458 |
| Provider Name | Kathleen Sandra Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932457694 PECOS PAC ID: 5294985826 Enrollment ID: I20121017000288 |
| Provider Name | Alina Contino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295911543 PECOS PAC ID: 7012266372 Enrollment ID: I20180820001735 |
| Provider Name | Stoney L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528554219 PECOS PAC ID: 9830440882 Enrollment ID: I20181001003053 |
| Provider Name | Caroline Marie Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952897274 PECOS PAC ID: 7810240173 Enrollment ID: I20181102001474 |
| Provider Name | Teresa K Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679978159 PECOS PAC ID: 0941538250 Enrollment ID: I20190824000453 |
| Provider Name | Katherine Smith Palmgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114504016 PECOS PAC ID: 9234531146 Enrollment ID: I20210715000811 |
| Provider Name | Sarah Elizabeth Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275674830 PECOS PAC ID: 4082019476 Enrollment ID: I20210824000298 |
| Provider Name | Heriberto Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245900646 PECOS PAC ID: 0345639415 Enrollment ID: I20211110002229 |
| Provider Name | Dana Powers Acheson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003564212 PECOS PAC ID: 3678959723 Enrollment ID: I20220927003907 |
| Provider Name | Kareem C Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366179095 PECOS PAC ID: 1759751399 Enrollment ID: I20221223000352 |
| Provider Name | Cortlin J Polo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831714369 PECOS PAC ID: 4688073562 Enrollment ID: I20230602001876 |
| Provider Name | Maxine Rochell Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316472830 PECOS PAC ID: 0143689141 Enrollment ID: I20230710000830 |
| Provider Name | Joemel Jay Mediavilla Baloyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588437065 PECOS PAC ID: 2860841251 Enrollment ID: I20231211002179 |
| Provider Name | Monica Grambusch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922497379 PECOS PAC ID: 1850740077 Enrollment ID: I20231213003650 |
| Provider Name | Yineiry Triguero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194390104 PECOS PAC ID: 6406293398 Enrollment ID: I20240327003038 |
| Provider Name | Natalie Sue Borto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063032209 PECOS PAC ID: 3173068756 Enrollment ID: I20240709001028 |
| Provider Name | Jordan Tyler Dewitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679064984 PECOS PAC ID: 7214472505 Enrollment ID: I20240710005228 |
| Provider Name | Kristan Marie Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972056422 PECOS PAC ID: 5193262756 Enrollment ID: I20240801001277 |
| Provider Name | Telina Faye Mathews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841473212 PECOS PAC ID: 8628516580 Enrollment ID: I20240812000165 |
| Provider Name | Haley Kathleen Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932459518 PECOS PAC ID: 7113176918 Enrollment ID: I20240816004061 |
| Provider Name | Mary Katherine Gerideau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619330453 PECOS PAC ID: 9830638840 Enrollment ID: I20240822000380 |
| Provider Name | Olivia A Raines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932956760 PECOS PAC ID: 2769922921 Enrollment ID: I20240913003201 |
| Provider Name | Tarra Lauren Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952003014 PECOS PAC ID: 4880135284 Enrollment ID: I20240925003819 |
| Provider Name | Derek Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417404963 PECOS PAC ID: 2769913045 Enrollment ID: I20240927002332 |
| Provider Name | Ruchika Verma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558903138 PECOS PAC ID: 0143751099 Enrollment ID: I20241002001398 |
| Provider Name | Tonna Lynette Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841804895 PECOS PAC ID: 0648701367 Enrollment ID: I20241007000368 |
| Provider Name | Mary Michelle Martin-looman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063848695 PECOS PAC ID: 1456883024 Enrollment ID: I20241021002869 |
| Provider Name | William Holt Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336745454 PECOS PAC ID: 0042743239 Enrollment ID: I20241025003457 |
| Provider Name | Alyssa Rene Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952978702 PECOS PAC ID: 8921532581 Enrollment ID: I20241105003989 |
| Provider Name | Jessica Costner Whitlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932944683 PECOS PAC ID: 7416482922 Enrollment ID: I20241120004275 |
| Provider Name | Lonnie W. Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902126659 PECOS PAC ID: 3971038340 Enrollment ID: I20241121002501 |
| Provider Name | Cindy Yueh Ching Huang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720758493 PECOS PAC ID: 0244766616 Enrollment ID: I20241209002181 |
| Provider Name | Jessica A Lemire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043843865 PECOS PAC ID: 0244766459 Enrollment ID: I20241211003317 |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 W Margaret Ln, Hillsborough, NC 27278 Phone: 704-986-1500 Fax: 704-986-5605 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W Corbin St, Suite 103, Hillsborough, NC 27278 Phone: 919-245-4056 | |
J-1 Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Millstone Dr Ste D, Hillsborough, NC 27278 Phone: 919-732-5425 | |
Triumph, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Millstone Dr, Hillsborough, NC 27278 Phone: 919-245-3062 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Millstone Drive, Suite B, Hillsborough, NC 27278 Phone: 919-245-1056 Fax: 919-245-0147 |