| Peninsula Pastoral Counseling Center | |
|
707 Gum Rock Court Newport News VA 23606 | |
| (757) 873-2273 | |
| (757) 873-9422 |
| Full Name | Peninsula Pastoral Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 707 Gum Rock Court, Newport News, Virginia |
| Authorized Official Name and Position | Rebecca E. Glass (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7578732273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Pastoral Counseling Center Po Box 2546 Virginia Beach VA 23450-2546 Ph: (757) 340-2864 | Peninsula Pastoral Counseling Center 707 Gum Rock Court Newport News VA 23606 Ph: (757) 873-2273 |
| NPI Number | 1659476315 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Medicare PECOS PAC ID | 2668802638 |
|---|---|
| Medicare Enrollment ID | O20200416000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659476315 | NPI | - | NPPES |
| Provider Name | Brent M Seusy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295192342 PECOS PAC ID: 3173954161 Enrollment ID: I20200506002690 |
| Provider Name | Debra Womer Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831524222 PECOS PAC ID: 0244661288 Enrollment ID: I20200507002130 |
| Provider Name | Ellen Velissarios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134490097 PECOS PAC ID: 5294183950 Enrollment ID: I20231120000848 |
| Provider Name | Ellen Velissarios |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1134490097 PECOS PAC ID: 5294183950 Enrollment ID: I20231207000690 |
| Provider Name | Morgan Guyton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639785728 PECOS PAC ID: 6608228184 Enrollment ID: I20240119003447 |
| Provider Name | Rebecca E. Glass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164529152 PECOS PAC ID: 3577993542 Enrollment ID: I20240226000248 |
| Provider Name | Martha F. Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396842555 PECOS PAC ID: 8729424197 Enrollment ID: I20240307001757 |
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