| Thriveworks | |
|
1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks |
|---|---|
| Speciality | Counselor |
| Location | 1000 Jefferson St Ste 2c, Lynchburg, Virginia |
| Authorized Official Name and Position | Nathan Miller (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5402176461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks 1000 Jefferson St Ste 2c Lynchburg VA 24504-1723 Ph: (617) 379-0496 | Thriveworks 1000 Jefferson St Ste 2c Lynchburg VA 24504-1724 Ph: (855) 284-7483 |
| NPI Number | 1215181300 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Medicare PECOS PAC ID | 0749458420 |
|---|---|
| Medicare Enrollment ID | O20110725000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215181300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6635 (Massachusetts) | Primary |
| Provider Name | Elisabeth N Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497811822 PECOS PAC ID: 4385694736 Enrollment ID: I20050125000056 |
| Provider Name | Alan Webber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205891058 PECOS PAC ID: 7719915768 Enrollment ID: I20050801000143 |
| Provider Name | Michael E Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861576522 PECOS PAC ID: 6800826637 Enrollment ID: I20050822000155 |
| Provider Name | Cheryl Boissy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568970507 PECOS PAC ID: 1052342425 Enrollment ID: I20050825000328 |
| Provider Name | Celine De Santis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417176538 PECOS PAC ID: 8325073778 Enrollment ID: I20051004000966 |
| Provider Name | Jeffrey N White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669694733 PECOS PAC ID: 3971521295 Enrollment ID: I20051104000711 |
| Provider Name | Shari E Gelfand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346517075 PECOS PAC ID: 5890700637 Enrollment ID: I20060215000140 |
| Provider Name | Bernard Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154526606 PECOS PAC ID: 4789732686 Enrollment ID: I20090504000261 |
| Provider Name | Sumio Shinohara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457401564 PECOS PAC ID: 4082740139 Enrollment ID: I20100424000005 |
| Provider Name | Alice Husted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043445489 PECOS PAC ID: 7618007584 Enrollment ID: I20100621000190 |
| Provider Name | Wanda J Beteau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912212275 PECOS PAC ID: 3072793025 Enrollment ID: I20110208000336 |
| Provider Name | Theresa Maria Damien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841584299 PECOS PAC ID: 7810165271 Enrollment ID: I20110729000566 |
| Provider Name | Kamini Hambly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114147642 PECOS PAC ID: 3870766413 Enrollment ID: I20111027000204 |
| Provider Name | Joy Gallon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528238920 PECOS PAC ID: 6608049143 Enrollment ID: I20111028000556 |
| Provider Name | Stephanie A Wuebbens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568645018 PECOS PAC ID: 6305876780 Enrollment ID: I20120423000647 |
| Provider Name | Beth A Mullek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871865634 PECOS PAC ID: 7810159274 Enrollment ID: I20120501000124 |
| Provider Name | Edward R Glennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396096053 PECOS PAC ID: 5991940322 Enrollment ID: I20130405000358 |
| Provider Name | Gloria F Tower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700159100 PECOS PAC ID: 9335377464 Enrollment ID: I20140116000708 |
| Provider Name | Sarah C Meeks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245522903 PECOS PAC ID: 6305078387 Enrollment ID: I20140404001181 |
| Provider Name | Erin Rauscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629271119 PECOS PAC ID: 5799729067 Enrollment ID: I20140430002451 |
| Provider Name | Vivian Sockol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922426170 PECOS PAC ID: 1951525799 Enrollment ID: I20140617001234 |
| Provider Name | Jessica Alef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316043011 PECOS PAC ID: 2466679816 Enrollment ID: I20140808001601 |
| Provider Name | Rebecca Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134543184 PECOS PAC ID: 7618195322 Enrollment ID: I20140821001211 |
| Provider Name | Gina Marie Gambardella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124163092 PECOS PAC ID: 1850613639 Enrollment ID: I20141205000666 |
| Provider Name | Shaheen Emmanuel Lakhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649585944 PECOS PAC ID: 4082937255 Enrollment ID: I20141218001436 |
| Provider Name | Ayala Hamami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730462300 PECOS PAC ID: 6204151665 Enrollment ID: I20150206001846 |
| Provider Name | Alicia M Ziegler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669879961 PECOS PAC ID: 3476866211 Enrollment ID: I20150722004689 |
| Provider Name | Mercy Mbuthia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326405671 PECOS PAC ID: 1153626304 Enrollment ID: I20160225001065 |
| Provider Name | Stencia Sickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306202924 PECOS PAC ID: 6002114022 Enrollment ID: I20160407000908 |
| Provider Name | Lena Nganga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548329584 PECOS PAC ID: 9638462716 Enrollment ID: I20160727000821 |
| Provider Name | Christine M Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487023230 PECOS PAC ID: 2062706633 Enrollment ID: I20160804000085 |
| Provider Name | Shaina Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972050318 PECOS PAC ID: 1456630300 Enrollment ID: I20161116001455 |
| Provider Name | Azizi S Carle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386767929 PECOS PAC ID: 1557630589 Enrollment ID: I20170707001457 |
| Provider Name | Mary E. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851495006 PECOS PAC ID: 3072413780 Enrollment ID: I20171206002786 |
| Provider Name | Rachael A Darian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881625242 PECOS PAC ID: 1355376757 Enrollment ID: I20180122000998 |
| Provider Name | Corey Bisceglia-kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750880688 PECOS PAC ID: 5092076661 Enrollment ID: I20180221002841 |
| Provider Name | Mackie Immacula Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528330701 PECOS PAC ID: 1759643877 Enrollment ID: I20180329000389 |
| Provider Name | Kimberly Wabik-rivera Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881135168 PECOS PAC ID: 9032473533 Enrollment ID: I20180509002197 |
| Provider Name | Juliana Igbinosun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417468463 PECOS PAC ID: 8123383973 Enrollment ID: I20180525000780 |
| Provider Name | Meredith S Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477055333 PECOS PAC ID: 8921344185 Enrollment ID: I20190108003618 |
| Provider Name | Shanta P Cortez-greig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801146956 PECOS PAC ID: 2365789518 Enrollment ID: I20190125000151 |
| Provider Name | Leonard H Schmelkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508952581 PECOS PAC ID: 6709066624 Enrollment ID: I20190326002503 |
| Provider Name | Lindsay Veillette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326603812 PECOS PAC ID: 6901139146 Enrollment ID: I20190604000146 |
| Provider Name | Vincenzo Zaccheo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154775302 PECOS PAC ID: 8628304268 Enrollment ID: I20190719001854 |
| Provider Name | Melissa Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245713155 PECOS PAC ID: 9234467390 Enrollment ID: I20190827003541 |
| Provider Name | Heather A Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730512963 PECOS PAC ID: 7517218191 Enrollment ID: I20200214001412 |
| Provider Name | Amber J Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235604471 PECOS PAC ID: 8426487182 Enrollment ID: I20200331002098 |
| Provider Name | Carly Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518367630 PECOS PAC ID: 7810327905 Enrollment ID: I20200413001936 |
| Provider Name | Taylor E. Lamberta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740828607 PECOS PAC ID: 8123459427 Enrollment ID: I20200520000623 |
| Provider Name | Erika Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652322 PECOS PAC ID: 4082987524 Enrollment ID: I20200622000721 |
| Provider Name | Rebecca Macgillivray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255768230 PECOS PAC ID: 9436496411 Enrollment ID: I20200709003488 |
| Provider Name | Genevieve Wicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306298732 PECOS PAC ID: 8729402904 Enrollment ID: I20200721002200 |
| Provider Name | Amanda Kanter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841822319 PECOS PAC ID: 9739503947 Enrollment ID: I20200721003196 |
| Provider Name | Jean-merimee N Kouagheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689208050 PECOS PAC ID: 3577982198 Enrollment ID: I20201001001074 |
| Provider Name | Jennifer Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932762440 PECOS PAC ID: 4587084314 Enrollment ID: I20201016002104 |
| Provider Name | Kaitlyn Mcdonald Ollila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578041505 PECOS PAC ID: 1355751819 Enrollment ID: I20201112000402 |
| Provider Name | Ryan Richard Wade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588027403 PECOS PAC ID: 5496173338 Enrollment ID: I20201125000917 |
| Provider Name | Alfonso A Perillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235611583 PECOS PAC ID: 2264843903 Enrollment ID: I20201201001584 |
| Provider Name | Grace Hambleton Dwyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922492339 PECOS PAC ID: 5799197968 Enrollment ID: I20201211000397 |
| Provider Name | Maggie Dobbins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841892304 PECOS PAC ID: 5890107809 Enrollment ID: I20201216001914 |
| Provider Name | Peter O Camden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063706539 PECOS PAC ID: 8628480340 Enrollment ID: I20201221002381 |
| Provider Name | Edwin Agbonavbare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386007631 PECOS PAC ID: 5496168080 Enrollment ID: I20201228000824 |
| Provider Name | Grace Njeri Ngumi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174137434 PECOS PAC ID: 2466865027 Enrollment ID: I20201229001127 |
| Provider Name | Lizabeth J Flash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528678646 PECOS PAC ID: 6103239975 Enrollment ID: I20210115001778 |
| Provider Name | Jennifer Royster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437630670 PECOS PAC ID: 8921412503 Enrollment ID: I20210121001888 |
| Provider Name | Douglas S Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952938136 PECOS PAC ID: 6901210780 Enrollment ID: I20210208001214 |
| Provider Name | Alice M Miele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053804294 PECOS PAC ID: 9234544370 Enrollment ID: I20210223000762 |
| Provider Name | Kathleen Ann Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043792187 PECOS PAC ID: 8426464264 Enrollment ID: I20210303000670 |
| Provider Name | Abigail Nganye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528694361 PECOS PAC ID: 9931498268 Enrollment ID: I20210304000878 |
| Provider Name | Khadija Tuitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619459997 PECOS PAC ID: 3971919283 Enrollment ID: I20210311001668 |
| Provider Name | Kirsten A Lowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184105363 PECOS PAC ID: 5294141230 Enrollment ID: I20210317000353 |
| Provider Name | Izabela Osiniecka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235720772 PECOS PAC ID: 8729494778 Enrollment ID: I20210317000827 |
| Provider Name | Karin Raaberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346839297 PECOS PAC ID: 7416364179 Enrollment ID: I20210324001402 |
| Provider Name | Desiree Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851772941 PECOS PAC ID: 6608283072 Enrollment ID: I20210331001770 |
| Provider Name | Jaeyoung Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881296556 PECOS PAC ID: 3375950629 Enrollment ID: I20210401002141 |
| Provider Name | Jean Frederick Villars |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952381535 PECOS PAC ID: 2668510538 Enrollment ID: I20210406001070 |
| Provider Name | Margaret T Oloyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346875804 PECOS PAC ID: 3779992953 Enrollment ID: I20210430000093 |
| Provider Name | Elizabeth Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225513120 PECOS PAC ID: 6204245814 Enrollment ID: I20210512001193 |
| Provider Name | Cassidy Stevens Figueredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144838202 PECOS PAC ID: 1456753136 Enrollment ID: I20210719000784 |
| Provider Name | Ashley Stolitza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780125641 PECOS PAC ID: 5193129591 Enrollment ID: I20210806002080 |
| Provider Name | Salem Caleb Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255978573 PECOS PAC ID: 2567866429 Enrollment ID: I20210813003045 |
| Provider Name | Robert Cataldo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528245677 PECOS PAC ID: 7618284787 Enrollment ID: I20210823001601 |
| Provider Name | Anne Elizabeth Turley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609209584 PECOS PAC ID: 9830594951 Enrollment ID: I20210826002897 |
| Provider Name | Amanda Wayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184054736 PECOS PAC ID: 8628353968 Enrollment ID: I20210909001298 |
| Provider Name | Naomi Jane Dyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013526920 PECOS PAC ID: 2062818339 Enrollment ID: I20210913000592 |
| Provider Name | Matthew R Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760804363 PECOS PAC ID: 6901202118 Enrollment ID: I20210913002621 |
| Provider Name | Teresa K Maguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629253596 PECOS PAC ID: 1456434299 Enrollment ID: I20210915001179 |
| Provider Name | Jillian Bonzani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851965586 PECOS PAC ID: 5890192645 Enrollment ID: I20210922000845 |
| Provider Name | Melissa Christine Ozarski Yazir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740496751 PECOS PAC ID: 0244637833 Enrollment ID: I20210924000077 |
| Provider Name | Marie Eustache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922908 PECOS PAC ID: 8729485123 Enrollment ID: I20210928002640 |
| Provider Name | Wideleine Odne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538839139 PECOS PAC ID: 8729486840 Enrollment ID: I20211004002687 |
| Provider Name | Gretchen Cathryn Witt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902270036 PECOS PAC ID: 3870898315 Enrollment ID: I20211020002299 |
| Provider Name | Bridgette Masse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639735095 PECOS PAC ID: 2769870799 Enrollment ID: I20211025002400 |
| Provider Name | Ellen Minter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053910497 PECOS PAC ID: 9032512207 Enrollment ID: I20211101002005 |
| Provider Name | Enel Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508536723 PECOS PAC ID: 6204143803 Enrollment ID: I20211202002676 |
| Provider Name | Elizabeth M Kariotis-rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265579973 PECOS PAC ID: 9638560279 Enrollment ID: I20211215002110 |
| Provider Name | Meaghan Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235693193 PECOS PAC ID: 5496146870 Enrollment ID: I20211217002152 |
| Provider Name | Jillian Lopes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811554249 PECOS PAC ID: 8820489057 Enrollment ID: I20211227000159 |
| Provider Name | Lisa Umanita |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811440480 PECOS PAC ID: 1254627565 Enrollment ID: I20220208001862 |
| Provider Name | George Towsend Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730841941 PECOS PAC ID: 2466848395 Enrollment ID: I20220401001254 |
| Provider Name | Molly Nevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013243195 PECOS PAC ID: 6305225152 Enrollment ID: I20220624000758 |
| Provider Name | Kaylin Petracca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043755937 PECOS PAC ID: 4981083771 Enrollment ID: I20220624002066 |
| Provider Name | Gabriella Bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205355989 PECOS PAC ID: 1850771866 Enrollment ID: I20220708000927 |
| Provider Name | Leeann Horner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649870734 PECOS PAC ID: 6204217946 Enrollment ID: I20220713000782 |
| Provider Name | Judy Paz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275886228 PECOS PAC ID: 5294116463 Enrollment ID: I20220719002234 |
| Provider Name | Jason Czernich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336588169 PECOS PAC ID: 8729469994 Enrollment ID: I20220719002273 |
| Provider Name | Leyla Derbali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366173593 PECOS PAC ID: 5294116471 Enrollment ID: I20220719002665 |
| Provider Name | Anthony Tucci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285181552 PECOS PAC ID: 3870974058 Enrollment ID: I20220719002867 |
| Provider Name | Danielle Baliva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356724421 PECOS PAC ID: 1254712003 Enrollment ID: I20220726000066 |
| Provider Name | Kelsey Korenkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194249714 PECOS PAC ID: 4486037264 Enrollment ID: I20220811000172 |
| Provider Name | Analisa Savini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831672443 PECOS PAC ID: 5799166815 Enrollment ID: I20220811001986 |
| Provider Name | Chelsea Rose Griswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326532334 PECOS PAC ID: 3476929407 Enrollment ID: I20221017002206 |
| Provider Name | Ruby Doshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790435626 PECOS PAC ID: 8527440668 Enrollment ID: I20221111000237 |
| Provider Name | Mohamed Alsaidy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982145009 PECOS PAC ID: 4486986791 Enrollment ID: I20221202002422 |
| Provider Name | Lhassane Oumalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659098069 PECOS PAC ID: 4385013077 Enrollment ID: I20221220002396 |
| Provider Name | Marissa Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255913109 PECOS PAC ID: 4486025129 Enrollment ID: I20230117002233 |
| Provider Name | Grace Chidimma Mbawuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679229447 PECOS PAC ID: 6608247879 Enrollment ID: I20230126000416 |
| Provider Name | Barbara Ann Center |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497909147 PECOS PAC ID: 5890781017 Enrollment ID: I20230210001124 |
| Provider Name | Nadia T Brandon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073124020 PECOS PAC ID: 9931571254 Enrollment ID: I20230215001786 |
| Provider Name | Lois Awah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184122566 PECOS PAC ID: 1951774900 Enrollment ID: I20230222002255 |
| Provider Name | Theronda L Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992024764 PECOS PAC ID: 8022481894 Enrollment ID: I20230224001863 |
| Provider Name | Donna Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467796524 PECOS PAC ID: 8628297389 Enrollment ID: I20230224002077 |
| Provider Name | Joan Barclay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730527268 PECOS PAC ID: 0244604429 Enrollment ID: I20230330001096 |
| Provider Name | Melanie Jane Dudek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205345600 PECOS PAC ID: 2961877634 Enrollment ID: I20230411001568 |
| Provider Name | Cameron Mcstowe Schidlmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912591553 PECOS PAC ID: 6709241771 Enrollment ID: I20230426000843 |
| Provider Name | Campbell Mackie Swift |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891165361 PECOS PAC ID: 3678938669 Enrollment ID: I20230426001868 |
| Provider Name | Kaden Andrew Trifilio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053821744 PECOS PAC ID: 5799142121 Enrollment ID: I20230531000451 |
| Provider Name | Anne L Hilburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033691225 PECOS PAC ID: 3971960329 Enrollment ID: I20230531001484 |
| Provider Name | Amanda Marie Wickett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770511149 PECOS PAC ID: 6002212701 Enrollment ID: I20230616000283 |
| Provider Name | Pinelopi Dovinos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639531205 PECOS PAC ID: 0042670234 Enrollment ID: I20230719003352 |
| Provider Name | Elizabeth Mary Amelia Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659604460 PECOS PAC ID: 3375905060 Enrollment ID: I20230811001730 |
| Provider Name | Karissa Leester Nicole Peoples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700345949 PECOS PAC ID: 8628430808 Enrollment ID: I20230821001467 |
| Provider Name | Isabelle Marie Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215304100 PECOS PAC ID: 6507220712 Enrollment ID: I20230906003141 |
| Provider Name | Kayla Isabel Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447629563 PECOS PAC ID: 3971967969 Enrollment ID: I20230908002472 |
| Provider Name | Hannah Lyn Fishman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477219319 PECOS PAC ID: 4688020118 Enrollment ID: I20231019002403 |
| Provider Name | Mckenzie E Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154914034 PECOS PAC ID: 8224484217 Enrollment ID: I20231027000346 |
| Provider Name | Kristen Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366982902 PECOS PAC ID: 6901252808 Enrollment ID: I20231030001392 |
| Provider Name | Mahendran Govind Radhakrishnan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801165857 PECOS PAC ID: 6608223565 Enrollment ID: I20231114003104 |
| Provider Name | Danielle Helene Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942580691 PECOS PAC ID: 7012367931 Enrollment ID: I20231219000685 |
| Provider Name | Destiny Ulonnaya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770132748 PECOS PAC ID: 4284085242 Enrollment ID: I20240104000855 |
| Provider Name | Courtney Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396361374 PECOS PAC ID: 9436500402 Enrollment ID: I20240104001406 |
| Provider Name | Carol Massoud-leroy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346519667 PECOS PAC ID: 4183075658 Enrollment ID: I20240109002409 |
| Provider Name | Cara-leigh Recker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134558372 PECOS PAC ID: 6204287782 Enrollment ID: I20240109002654 |
| Provider Name | Ivory Roberts-clarke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134137201 PECOS PAC ID: 8224489703 Enrollment ID: I20240109002923 |
| Provider Name | Cherie D'souza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780136101 PECOS PAC ID: 4587015060 Enrollment ID: I20240109002981 |
| Provider Name | Christina Deang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154008290 PECOS PAC ID: 1951752369 Enrollment ID: I20240110002989 |
| Provider Name | Christopher Andrew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497271423 PECOS PAC ID: 6204287626 Enrollment ID: I20240110003531 |
| Provider Name | Abby Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851502462 PECOS PAC ID: 2264883537 Enrollment ID: I20240111000370 |
| Provider Name | Alex Newman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407491962 PECOS PAC ID: 3173974466 Enrollment ID: I20240111001242 |
| Provider Name | Venturiely Grullon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205140829 PECOS PAC ID: 1456702687 Enrollment ID: I20240111002829 |
| Provider Name | Victoria Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316258890 PECOS PAC ID: 3678924867 Enrollment ID: I20240112000179 |
| Provider Name | Vanessa Persaud |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538735311 PECOS PAC ID: 2567813751 Enrollment ID: I20240112000231 |
| Provider Name | Amy Chase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881086049 PECOS PAC ID: 9638520828 Enrollment ID: I20240112000313 |
| Provider Name | Vanessa V Rodriguez Varga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508327495 PECOS PAC ID: 6901257195 Enrollment ID: I20240112000340 |
| Provider Name | Alyssa Quann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992241442 PECOS PAC ID: 1153772355 Enrollment ID: I20240112000418 |
| Provider Name | Anastasia Doulamis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235476110 PECOS PAC ID: 4587015789 Enrollment ID: I20240112000522 |
| Provider Name | Courtney Council |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063991487 PECOS PAC ID: 1153772256 Enrollment ID: I20240112000738 |
| Provider Name | Baran Kamyab |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336736990 PECOS PAC ID: 1052763158 Enrollment ID: I20240113000045 |
| Provider Name | April Villa Laura |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982254264 PECOS PAC ID: 5597117697 Enrollment ID: I20240113000090 |
| Provider Name | Ashley Kitchen-sweet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639546500 PECOS PAC ID: 1850743956 Enrollment ID: I20240113000110 |
| Provider Name | Ashley Almeida |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508215005 PECOS PAC ID: 9931551033 Enrollment ID: I20240113000132 |
| Provider Name | Elizabeth Clements |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700485836 PECOS PAC ID: 7911359013 Enrollment ID: I20240113000219 |
| Provider Name | Kendyl Geeze |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821677345 PECOS PAC ID: 8820440928 Enrollment ID: I20240113000220 |
| Provider Name | Evan Menno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770867848 PECOS PAC ID: 9739531849 Enrollment ID: I20240113000255 |
| Provider Name | Kimika Tashima |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245458629 PECOS PAC ID: 3375995483 Enrollment ID: I20240113000281 |
| Provider Name | Irlanda Gomes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811262124 PECOS PAC ID: 1456703560 Enrollment ID: I20240113000317 |
| Provider Name | Samantha Rockwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780053629 PECOS PAC ID: 3072965185 Enrollment ID: I20240113000374 |
| Provider Name | Chanette Adlam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689053563 PECOS PAC ID: 4880046911 Enrollment ID: I20240115000081 |
| Provider Name | Denise J Galford-koeppel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174704779 PECOS PAC ID: 3577915610 Enrollment ID: I20240115000250 |
| Provider Name | Lisa Teixeira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699983601 PECOS PAC ID: 2567814601 Enrollment ID: I20240115000264 |
| Provider Name | Jennifer Quell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841706439 PECOS PAC ID: 8426400565 Enrollment ID: I20240115000411 |
| Provider Name | Cameron Burke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295102473 PECOS PAC ID: 3971955014 Enrollment ID: I20240115000424 |
| Provider Name | Eileen Garrigan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205905940 PECOS PAC ID: 3779935820 Enrollment ID: I20240115000509 |
| Provider Name | Helen Phoenix |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922514413 PECOS PAC ID: 8325490477 Enrollment ID: I20240115000790 |
| Provider Name | Cody Doucette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912200833 PECOS PAC ID: 6204288368 Enrollment ID: I20240115000912 |
| Provider Name | Elizabeth Marrin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376804484 PECOS PAC ID: 9638521792 Enrollment ID: I20240115000967 |
| Provider Name | Humberto Moreno-serrano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770987679 PECOS PAC ID: 0446602502 Enrollment ID: I20240115001012 |
| Provider Name | Laura-marie Tusi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790232908 PECOS PAC ID: 2668824731 Enrollment ID: I20240115001195 |
| Provider Name | Tia C Burr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346912656 PECOS PAC ID: 4981056058 Enrollment ID: I20240115001376 |
| Provider Name | Taylor M Klein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881195923 PECOS PAC ID: 4688026768 Enrollment ID: I20240115001483 |
| Provider Name | Suji Choe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467850511 PECOS PAC ID: 7911359096 Enrollment ID: I20240115001553 |
| Provider Name | Stephen Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154785582 PECOS PAC ID: 5597117580 Enrollment ID: I20240116000090 |
| Provider Name | Tiffany A Marro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225741135 PECOS PAC ID: 1850743840 Enrollment ID: I20240116000112 |
| Provider Name | Kelsey Quinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326681677 PECOS PAC ID: 1951753995 Enrollment ID: I20240116001473 |
| Provider Name | Randall Braun |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942778865 PECOS PAC ID: 6002268042 Enrollment ID: I20240116001624 |
| Provider Name | Danielle Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528711769 PECOS PAC ID: 1456703495 Enrollment ID: I20240116001644 |
| Provider Name | Aileen Hickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487084398 PECOS PAC ID: 0446602486 Enrollment ID: I20240116001676 |
| Provider Name | Alexandra Mango |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467973644 PECOS PAC ID: 5597117549 Enrollment ID: I20240116001835 |
| Provider Name | Marc Viera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861666901 PECOS PAC ID: 4284086232 Enrollment ID: I20240116001927 |
| Provider Name | Sherry Kravitsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417076795 PECOS PAC ID: 4183076136 Enrollment ID: I20240116001967 |
| Provider Name | Mark Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972025906 PECOS PAC ID: 5799137741 Enrollment ID: I20240116002063 |
| Provider Name | Colleen Goode |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649434507 PECOS PAC ID: 5496107468 Enrollment ID: I20240116002559 |
| Provider Name | Gahensha Pinckombe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982199378 PECOS PAC ID: 4183076052 Enrollment ID: I20240116002981 |
| Provider Name | Christopher Hawkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063981918 PECOS PAC ID: 1052763935 Enrollment ID: I20240116003102 |
| Provider Name | Catherine Patten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467887216 PECOS PAC ID: 5193177079 Enrollment ID: I20240116003301 |
| Provider Name | Jennifer Kneeland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053865808 PECOS PAC ID: 1951753847 Enrollment ID: I20240116003500 |
| Provider Name | Emily Rosenau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457651564 PECOS PAC ID: 4486006376 Enrollment ID: I20240116003560 |
| Provider Name | Toni M Vegiard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033535513 PECOS PAC ID: 5294187183 Enrollment ID: I20240116003576 |
| Provider Name | Judith Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376839977 PECOS PAC ID: 3971955873 Enrollment ID: I20240116003761 |
| Provider Name | Debra Joy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447386891 PECOS PAC ID: 3274985189 Enrollment ID: I20240116004021 |
| Provider Name | Debra Lund |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295860104 PECOS PAC ID: 7719339621 Enrollment ID: I20240116004046 |
| Provider Name | Francesca Bjork |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598216996 PECOS PAC ID: 9830543149 Enrollment ID: I20240117001689 |
| Provider Name | David Procaccini |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104495472 PECOS PAC ID: 9335591114 Enrollment ID: I20240117002078 |
| Provider Name | Timothy Paul Gau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790072528 PECOS PAC ID: 1052763851 Enrollment ID: I20240117002753 |
| Provider Name | Natasha Bavolar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639740236 PECOS PAC ID: 8325490139 Enrollment ID: I20240117003052 |
| Provider Name | Rebecah Bernard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194230730 PECOS PAC ID: 9133571953 Enrollment ID: I20240117003157 |
| Provider Name | Paige Hartmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770077786 PECOS PAC ID: 3274985098 Enrollment ID: I20240117003342 |
| Provider Name | Miriam Collazo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013522846 PECOS PAC ID: 7618329442 Enrollment ID: I20240117003749 |
| Provider Name | Samantha Prescott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720467665 PECOS PAC ID: 5698127355 Enrollment ID: I20240118000183 |
| Provider Name | Lizandre Levarity |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841508942 PECOS PAC ID: 4688026347 Enrollment ID: I20240118000218 |
| Provider Name | Samantha Macchiaverna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477265783 PECOS PAC ID: 9032561790 Enrollment ID: I20240118000233 |
| Provider Name | Russell Wolf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225107758 PECOS PAC ID: 5294187951 Enrollment ID: I20240118000299 |
| Provider Name | Robert Renna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477021087 PECOS PAC ID: 5991157661 Enrollment ID: I20240118000431 |
| Provider Name | Madeline Lydon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013526623 PECOS PAC ID: 2668824301 Enrollment ID: I20240118002813 |
| Provider Name | Meghan Kelley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326712480 PECOS PAC ID: 9335591973 Enrollment ID: I20240118003051 |
| Provider Name | Maureen Roy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184888794 PECOS PAC ID: 1456703099 Enrollment ID: I20240118003251 |
| Provider Name | Kelly Doherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164975207 PECOS PAC ID: 9638521289 Enrollment ID: I20240118003269 |
| Provider Name | Julie Lerner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033582689 PECOS PAC ID: 6305298951 Enrollment ID: I20240118003514 |
| Provider Name | Finora Rodriques |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255818514 PECOS PAC ID: 1355793969 Enrollment ID: I20240119000776 |
| Provider Name | Jessica Caira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801297247 PECOS PAC ID: 9830541465 Enrollment ID: I20240119001359 |
| Provider Name | Irene Carlson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568969962 PECOS PAC ID: 5395197602 Enrollment ID: I20240122003965 |
| Provider Name | Kevin Fenton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659925592 PECOS PAC ID: 0547612764 Enrollment ID: I20240123003045 |
| Provider Name | Christine Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578942322 PECOS PAC ID: 3870943178 Enrollment ID: I20240127000251 |
| Provider Name | Thomas Walters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871912774 PECOS PAC ID: 0941653703 Enrollment ID: I20240129000247 |
| Provider Name | Amelia Hasbun |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396110409 PECOS PAC ID: 0446603906 Enrollment ID: I20240131003159 |
| Provider Name | Jamiere Trifilio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386167591 PECOS PAC ID: 5193168144 Enrollment ID: I20240207001830 |
| Provider Name | Katya Rossolimos-kalogeropoulos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104164557 PECOS PAC ID: 8628411576 Enrollment ID: I20240207001917 |
| Provider Name | Hollie Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447599154 PECOS PAC ID: 5597108241 Enrollment ID: I20240209000178 |
| Provider Name | Wendy Daly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174107973 PECOS PAC ID: 5395188049 Enrollment ID: I20240209000238 |
| Provider Name | Marquetta Denisha Monroe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184391773 PECOS PAC ID: 2264875889 Enrollment ID: I20240209002638 |
| Provider Name | Rebecca Bernat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770810830 PECOS PAC ID: 1456702026 Enrollment ID: I20240214000037 |
| Provider Name | Samantha Goldfrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811685977 PECOS PAC ID: 5193169951 Enrollment ID: I20240220002526 |
| Provider Name | Donna Marie Duggan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831615343 PECOS PAC ID: 3779927421 Enrollment ID: I20240221001417 |
| Provider Name | Elizabeth Marie Plante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689001760 PECOS PAC ID: 3577907054 Enrollment ID: I20240223001201 |
| Provider Name | Bengisu Yanmaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659911659 PECOS PAC ID: 0648615997 Enrollment ID: I20240227002119 |
| Provider Name | Jeffrey C Rosenstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881792471 PECOS PAC ID: 4385089390 Enrollment ID: I20240229002727 |
| Provider Name | Martin Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770875585 PECOS PAC ID: 4385094515 Enrollment ID: I20240304001300 |
| Provider Name | Esther Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831664291 PECOS PAC ID: 1850737255 Enrollment ID: I20240307002855 |
| Provider Name | Elizabeth Kia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437772894 PECOS PAC ID: 9133566441 Enrollment ID: I20240322000275 |
| Provider Name | Alison Gilmore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477013761 PECOS PAC ID: 9234576273 Enrollment ID: I20240326001655 |
| Provider Name | Brian Sasso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003914649 PECOS PAC ID: 9436596483 Enrollment ID: I20240326001943 |
| Provider Name | Courtney Shea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720504665 PECOS PAC ID: 3173962701 Enrollment ID: I20240416002261 |
| Provider Name | Veronica Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457932832 PECOS PAC ID: 3870934946 Enrollment ID: I20240508000057 |
| Provider Name | Francesca Vitale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366704975 PECOS PAC ID: 3678914058 Enrollment ID: I20240516001084 |
| Provider Name | Michelle Ledoux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902170897 PECOS PAC ID: 8628419033 Enrollment ID: I20240516002367 |
| Provider Name | Kenneth Woodard Westerfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154945632 PECOS PAC ID: 3678915857 Enrollment ID: I20240521001019 |
| Provider Name | Margaret O'brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891246518 PECOS PAC ID: 7618319617 Enrollment ID: I20240522001817 |
| Provider Name | Angela M O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699811851 PECOS PAC ID: 2264520154 Enrollment ID: I20240523003109 |
| Provider Name | Nicolle Rubino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134570955 PECOS PAC ID: 7113364985 Enrollment ID: I20240528001319 |
| Provider Name | Giscard Saintil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770855348 PECOS PAC ID: 4486196367 Enrollment ID: I20240606002668 |
| Provider Name | Leon Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710204409 PECOS PAC ID: 7214479997 Enrollment ID: I20240610001728 |
| Provider Name | Heather Anne Sousa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669087490 PECOS PAC ID: 6901348424 Enrollment ID: I20240611003580 |
Virginia Baptist Hosp Acute Psych Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-947-3777 Fax: 434-947-4763 | |
Taylored Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Laxton Rd Ste 200, Lynchburg, VA 24502 Phone: 434-604-0134 Fax: 434-300-5558 | |
Patrick Henry Family Services Operations Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1621 Enterprise Dr, Lynchburg, VA 24502 Phone: 434-376-2006 Fax: 434-239-4955 | |
Wellspring Of Hope Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3723 Old Forest Rd, Lynchburg, VA 24501 Phone: 434-439-4822 | |
Peachtree Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 Leesville Road, Lynchburg, VA 24502 Phone: 434-239-1928 Fax: 434-239-8779 | |
Hill City Counseling And Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1610a Graves Mill Rd, Lynchburg, VA 24502 Phone: 434-258-0591 Fax: 434-608-0505 | |
Piedmont Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-947-5999 |