Supportive Care Of Virginia Llc - Medicare Mental Health Clinic in Colonial Heights, VA

Supportive Care Of Virginia Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Colonial Heights, Virginia. The current practice location for Supportive Care Of Virginia Llc is 831 E Ellerslie Ave, Colonial Heights, Virginia. For appointments, you can reach them via phone at (718) 298-7345. The mailing address for Supportive Care Of Virginia Llc is 27 Randolph Rd, Howell, New Jersey and phone number is (718) 298-4375.

Supportive Care Of Virginia Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801485354. 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 (718) 298-7345.

Contact Information

Supportive Care Of Virginia Llc
831 E Ellerslie Ave
Colonial Heights
VA 23834-1720
(718) 298-7345
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSupportive Care Of Virginia Llc
SpecialityPsychologist
Location831 E Ellerslie Ave, Colonial Heights, Virginia
Authorized Official Name and PositionRaphael Lichtschein (PRESIDENT)
Authorized Official Contact7182984375
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supportive Care Of Virginia Llc
27 Randolph Rd
Howell
NJ 07731-8611

Ph: (718) 298-4375
Supportive Care Of Virginia Llc
831 E Ellerslie Ave
Colonial Heights
VA 23834-1720

Ph: (718) 298-7345

NPI Details:

NPI Number1801485354
Provider Enumeration Date01/11/2021
Last Update Date01/11/2021
Certification Date01/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2961816731
Medicare Enrollment IDO20210208000520

Medical Identifiers

Medical identifiers for Supportive Care Of Virginia Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801485354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (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. Supportive Care Of Virginia Llc acts as a billing entity for following providers:
Provider NameKatherine Albach
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1588647218
PECOS PAC ID: 5597793505
Enrollment ID: I20050801000599
Provider NameTina M Fountain
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417944992
PECOS PAC ID: 2668407495
Enrollment ID: I20050930000076
Provider NameCharla W White
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1063489862
PECOS PAC ID: 6002873494
Enrollment ID: I20051130000425
Provider NameEdmund W Creekmore
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1861441511
PECOS PAC ID: 9830285832
Enrollment ID: I20071023000165
Provider NameMary A Dillman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306090287
PECOS PAC ID: 0345405288
Enrollment ID: I20120627000682
Provider NameJoanna Woodward Mcabee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790058923
PECOS PAC ID: 7113178831
Enrollment ID: I20121106000299
Provider NameAmanda N Trent
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1427308543
PECOS PAC ID: 1355593898
Enrollment ID: I20121210000354
Provider NamePamela Kay Meade
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376860213
PECOS PAC ID: 4789871385
Enrollment ID: I20130820000554
Provider NameAryn L Rosner Gentry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457767014
PECOS PAC ID: 3375764053
Enrollment ID: I20141021003220
Provider NameErin M Shaffer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477084325
PECOS PAC ID: 2163794835
Enrollment ID: I20170816001564
Provider NameMargaret Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962922484
PECOS PAC ID: 7719252717
Enrollment ID: I20170929003595
Provider NameSharon Theiner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1235799214
PECOS PAC ID: 2860722006
Enrollment ID: I20191001001901
Provider NameKendra Armstrong
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1679036131
PECOS PAC ID: 5496176620
Enrollment ID: I20200526002239
Provider NameLauren Carter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871048686
PECOS PAC ID: 3971917352
Enrollment ID: I20210126001518
Provider NameSheena Althea Lyle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396297875
PECOS PAC ID: 1951701499
Enrollment ID: I20210621001745
Provider NameShawn O Utsey
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1134899958
PECOS PAC ID: 9537558655
Enrollment ID: I20211111000967
Provider NameJuliet Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841890043
PECOS PAC ID: 4880084003
Enrollment ID: I20211202001513
Provider NameJenifer M Fink
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326794785
PECOS PAC ID: 7214322114
Enrollment ID: I20220310002812
Provider NamePaula Simone Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427718725
PECOS PAC ID: 9032505300
Enrollment ID: I20220413002356
Provider NameAmanda L Thenor
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609223783
PECOS PAC ID: 8224425426
Enrollment ID: I20220418000996
Provider NameElspeth Gunnoe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497185011
PECOS PAC ID: 1355647132
Enrollment ID: I20220418002503
Provider NameJulie Thompson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326206012
PECOS PAC ID: 9739566365
Enrollment ID: I20220519001591
Provider NameJenelle Anthony
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1841447596
PECOS PAC ID: 1557591336
Enrollment ID: I20220602001052
Provider NameKrystal Marie Woods
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124770953
PECOS PAC ID: 8325426257
Enrollment ID: I20220606002677
Provider NameAmy R Luckenbill-wheeler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053654889
PECOS PAC ID: 0547648057
Enrollment ID: I20220610001832
Provider NameAngel Marshall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245983154
PECOS PAC ID: 6507248630
Enrollment ID: I20220805000108
Provider NameBright N Olewe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659092500
PECOS PAC ID: 7911375290
Enrollment ID: I20221117000341
Provider NameTameika L Elam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508514266
PECOS PAC ID: 6204204019
Enrollment ID: I20221129002986
Provider NameChristel Earles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043887128
PECOS PAC ID: 7214308410
Enrollment ID: I20230126001505
Provider NameIbrahim Iftoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730772369
PECOS PAC ID: 7810306206
Enrollment ID: I20230216000524
Provider NameCecilia N Faison Ngwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619694361
PECOS PAC ID: 6204205685
Enrollment ID: I20230315002613
Provider NameAhmed Mohamed Gaber Abdulhamed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437707304
PECOS PAC ID: 5597139022
Enrollment ID: I20230323000390
Provider NameAnita Herrera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467150326
PECOS PAC ID: 1254796212
Enrollment ID: I20230428001582
Provider NameEbony N Calloway
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467987974
PECOS PAC ID: 5294002549
Enrollment ID: I20230711004585
Provider NameJoyce K. Slater
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1366599276
PECOS PAC ID: 0446613483
Enrollment ID: I20230824000623
Provider NameAlisha K Holben
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003516006
PECOS PAC ID: 8729447933
Enrollment ID: I20230920000080
Provider NameSindhu Kodoth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235919523
PECOS PAC ID: 9537516570
Enrollment ID: I20231113001168
Provider NameStephanie S Boyles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255099156
PECOS PAC ID: 3870956741
Enrollment ID: I20231213002769
Provider NameManju T Jose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023885373
PECOS PAC ID: 5698125029
Enrollment ID: I20240109000113
Provider NameJames S Weima
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891562682
PECOS PAC ID: 6800247123
Enrollment ID: I20240116001917
Provider NameDenise E Tatum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821670100
PECOS PAC ID: 3971956111
Enrollment ID: I20240124002619
Provider NameAziichap B Tung
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588295018
PECOS PAC ID: 0446696496
Enrollment ID: I20240314004149
Provider NameTheresa Nicole Thomas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1528770708
PECOS PAC ID: 3072950757
Enrollment ID: I20240318003247
Provider NameTeswar Wood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851904106
PECOS PAC ID: 9234576265
Enrollment ID: I20240328001136
Provider NameJennifer Hess Blake
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801574074
PECOS PAC ID: 6901245935
Enrollment ID: I20240423002904
Provider NameMonica Lenette Whitlock
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124504238
PECOS PAC ID: 5092153163
Enrollment ID: I20240513003000
Provider NameAmanda Renee Jewell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053786202
PECOS PAC ID: 5092157248
Enrollment ID: I20240520003926

Reviews and Comments

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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.