Southwest Regional Counseling Service Inc - Medicare Mental Health Clinic in Lebanon, VA

Southwest Regional Counseling Service Inc is a medicare enrolled mental health clinic (Counselor - Addiction (substance Use Disorder)) in Lebanon, Virginia. The current practice location for Southwest Regional Counseling Service Inc is 1114 E Main St Ste 4, Lebanon, Virginia. For appointments, you can reach them via phone at (276) 883-5050. The mailing address for Southwest Regional Counseling Service Inc is Po Box 306, Lebanon, Virginia and phone number is (273) 883-5050.

Southwest Regional Counseling Service Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063078855. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (276) 883-5050.

Contact Information

Southwest Regional Counseling Service Inc
1114 E Main St Ste 4
Lebanon
VA 24266-5014
(276) 883-5050
(276) 883-5998

Map and Direction


Mental Health Clinic Profile

Full NameSouthwest Regional Counseling Service Inc
SpecialityCounselor
Location1114 E Main St Ste 4, Lebanon, Virginia
Authorized Official Name and PositionJoshua Lipford (MANAGER)
Authorized Official Contact4238958266
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southwest Regional Counseling Service Inc
Po Box 306
Lebanon
VA 24266-0306

Ph: (273) 883-5050
Southwest Regional Counseling Service Inc
1114 E Main St Ste 4
Lebanon
VA 24266-5014

Ph: (276) 883-5050

NPI Details:

NPI Number1063078855
Provider Enumeration Date05/16/2019
Last Update Date05/16/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9133525967
Medicare Enrollment IDO20210902001563

Medical Identifiers

Medical identifiers for Southwest Regional Counseling Service Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063078855NPI-NPPES
1528039054MedicaidVA
1720016389MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southwest Regional Counseling Service Inc acts as a billing entity for following providers:
Provider NamePyung Jay Suh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295779148
PECOS PAC ID: 2860478922
Enrollment ID: I20040629000045
Provider NameMichael A Cockrum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447470067
PECOS PAC ID: 4587638242
Enrollment ID: I20041020001099
Provider NameTony E Yost
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003858796
PECOS PAC ID: 6608789938
Enrollment ID: I20060314000591
Provider NameAndrew N Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558562850
PECOS PAC ID: 8729189881
Enrollment ID: I20070719000774
Provider NameSasha Musick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306376108
PECOS PAC ID: 0345511010
Enrollment ID: I20170731001652
Provider NameAmy Lee Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437688116
PECOS PAC ID: 0648534636
Enrollment ID: I20180427000140
Provider NameTina L Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831745611
PECOS PAC ID: 2365878865
Enrollment ID: I20200131000909
Provider NameDan Nicolau
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992098396
PECOS PAC ID: 4082921358
Enrollment ID: I20210902001655

Reviews and Comments

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Phone: 276-883-8000    Fax: 276-883-8250

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.